| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $461.38 | $461.38 | $788.66 | |
Cigna
| Professional | $461.38 | $788.66 | $788.66 | |
Providence
| Facility | $365.55 | $475.46 | $903.14 | |
Providence
| Professional | $461.38 | $788.66 | $788.66 | |
United
| Professional | $287.87 | $318.51 | $530.85 |