| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $332.93 | $332.93 | $332.93 | |
Cigna
| Professional | $35.75 | $332.93 | $472.44 | |
Providence
| Facility | $54.20 | $305.95 | $755.90 | |
Providence
| Professional | $35.75 | $332.93 | $472.44 | |
United
| Professional | $228.23 | $228.23 | $267.02 |