| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $37.90 | $37.90 | $62.28 | |
Cigna
| Professional | $37.90 | $52.91 | $62.28 | |
Providence
| Facility | $20.05 | $60.66 | $84.66 | |
Providence
| Professional | $37.90 | $52.91 | $62.28 | |
United
| Professional | $26.98 | $28.82 | $48.03 |