| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $394.97 | $394.97 | $1,240.74 | |
Cigna
| Professional | $394.97 | $1,240.74 | $1,240.74 | |
Providence
| Facility | $394.97 | $945.34 | $1,240.74 | |
Providence
| Professional | $394.97 | $1,240.74 | $1,240.74 | |
United
| Professional | $517.60 | $548.04 | $913.40 |