| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $292.50 | $292.50 | $528.29 | |
Cigna
| Professional | $292.50 | $418.36 | $528.29 | |
Providence
| Facility | $288.08 | $374.54 | $604.98 | |
Providence
| Professional | $292.50 | $418.36 | $528.29 | |
United
| Professional | $226.87 | $251.02 | $418.36 |