| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $251.69 | $251.69 | $251.69 | |
Cigna
| Professional | $88.13 | $251.69 | $983.07 | |
Providence
| Facility | $104.64 | $130.80 | $1,572.91 | |
Providence
| Professional | $88.13 | $251.69 | $983.07 | |
United
| Professional | $364.97 | $388.69 | $647.80 |