| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $264.66 | $264.66 | $317.08 | |
Molina
| Professional | $318.16 | $327.70 | $477.24 | |
Providence
| Facility | $261.27 | $265.00 | $325.31 | |
Providence
| Professional | $250.82 | $277.19 | $365.79 |