| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $2,399.94 | $2,399.94 | $2,399.94 | |
Cigna
| Professional | $326.16 | $2,399.94 | $3,593.19 | |
Providence
| Facility | $2,327.02 | $3,467.93 | $5,749.10 | |
Providence
| Professional | $326.16 | $2,399.94 | $3,593.19 | |
United
| Professional | $1,832.53 | $2,035.62 | $3,392.70 |