| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $13.81 | $13.81 | $25.02 | |
Cigna
| Professional | $13.81 | $21.53 | $25.02 | |
Providence
| Facility | $8.16 | $24.68 | $34.45 | |
Providence
| Professional | $13.81 | $21.53 | $25.02 | |
United
| Professional | $10.44 | $10.44 | $17.39 |