| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $39.90 | $39.90 | $64.70 | |
Cigna
| Professional | $39.90 | $54.31 | $64.70 | |
Providence
| Facility | $39.54 | $49.81 | $86.90 | |
Providence
| Professional | $39.90 | $54.31 | $64.70 | |
United
| Professional | $28.17 | $30.13 | $50.21 |