| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $35.11 | $35.11 | $58.74 | |
Cigna
| Professional | $35.11 | $51.10 | $58.74 | |
Providence
| Facility | $19.71 | $58.60 | $81.76 | |
Providence
| Professional | $35.11 | $51.10 | $58.74 | |
United
| Professional | $26.51 | $26.84 | $30.96 |