| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $164.08 | $164.08 | $165.10 | |
Cigna
| Professional | $165.10 | $165.10 | $167.20 | |
Providence
| Facility | $39.86 | $102.12 | $182.65 | |
Providence
| Professional | $107.25 | $165.00 | $192.78 | |
United
| Professional | $132.74 | $172.14 | $191.41 |