| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $48.69 | $48.69 | $92.33 | |
Cigna
| Professional | $48.69 | $83.55 | $92.33 | |
Providence
| Facility | $32.20 | $92.33 | $133.68 | |
Providence
| Professional | $48.69 | $83.55 | $92.33 | |
United
| Professional | $36.77 | $36.77 | $61.28 |