| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $24.44 | $24.44 | $55.41 | |
Cigna
| Professional | $24.44 | $46.01 | $55.41 | |
Providence
| Facility | $24.44 | $42.22 | $73.62 | |
Providence
| Professional | $24.44 | $46.01 | $55.41 | |
United
| Professional | $23.47 | $26.33 | $43.88 |