| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $353.90 | $353.90 | $657.23 | |
Cigna
| Professional | $353.90 | $657.23 | $657.23 | |
Providence
| Facility | $304.62 | $396.39 | $752.61 | |
Providence
| Professional | $353.90 | $657.23 | $657.23 | |
United
| Professional | $239.89 | $265.43 | $442.38 |