| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $238.16 | $238.16 | $346.05 | |
Cigna
| Professional | $238.16 | $346.05 | $346.05 | |
Providence
| Facility | $106.15 | $238.16 | $396.27 | |
Providence
| Professional | $238.16 | $274.02 | $346.05 | |
United
| Professional | $148.60 | $164.42 | $274.02 |