| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $354.55 | $354.55 | $669.76 | |
Cigna
| Professional | $354.55 | $603.50 | $669.76 | |
Providence
| Facility | $239.29 | $553.72 | $965.60 | |
Providence
| Professional | $354.55 | $603.50 | $669.76 | |
United
| Professional | $272.36 | $272.36 | $453.94 |