| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $229.50 | $229.50 | $522.62 | |
Cigna
| Professional | $229.50 | $440.03 | $522.62 | |
Providence
| Facility | $229.50 | $403.74 | $704.05 | |
Providence
| Professional | $229.50 | $440.03 | $522.62 | |
United
| Professional | $223.10 | $223.10 | $371.84 |