| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $36.06 | $36.06 | $65.92 | |
Cigna
| Professional | $36.06 | $65.92 | $65.92 | |
Providence
| Facility | $36.06 | $52.86 | $66.08 | |
Providence
| Professional | $36.06 | $45.08 | $65.92 | |
United
| Facility | $2.50 | $17.36 | $23.14 | |
United
| Professional | $25.75 | $25.75 | $42.92 |