| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $64.34 | $64.34 | $66.25 | |
Cigna
| Professional | $64.26 | $66.25 | $66.25 | |
Providence
| Facility | $14.56 | $43.61 | $70.20 | |
Providence
| Professional | $42.06 | $64.70 | $75.59 | |
United
| Professional | $53.26 | $65.87 | $72.88 |