| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $14.57 | $14.57 | $24.55 | |
Cigna
| Professional | $14.57 | $21.43 | $24.55 | |
Providence
| Facility | $8.26 | $24.55 | $34.29 | |
Providence
| Professional | $14.57 | $21.43 | $24.55 | |
United
| Professional | $11.12 | $11.20 | $12.92 |