| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $240.34 | $240.34 | $240.34 | |
Cigna
| Professional | $33.42 | $240.34 | $364.50 | |
Providence
| Facility | $236.06 | $306.92 | $583.20 | |
Providence
| Professional | $33.42 | $240.34 | $364.50 | |
United
| Professional | $185.90 | $208.08 | $238.80 |