| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $331.53 | $331.53 | $517.39 | |
Cigna
| Professional | $331.53 | $517.39 | $517.39 | |
Providence
| Facility | $331.53 | $407.58 | $517.39 | |
Providence
| Professional | $331.53 | $374.14 | $517.39 | |
United
| Professional | $226.32 | $238.09 | $396.82 |