| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $244.43 | $244.43 | $329.58 | |
Cigna
| Professional | $244.43 | $329.58 | $329.58 | |
Providence
| Facility | $224.97 | $251.13 | $329.58 | |
Providence
| Professional | $244.43 | $329.58 | $329.58 | |
United
| Professional | $144.79 | $152.44 | $254.06 |