| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $73.97 | $73.97 | $133.16 | |
Cigna
| Professional | $73.97 | $98.19 | $133.16 | |
Providence
| Facility | $36.38 | $104.50 | $157.10 | |
Providence
| Professional | $73.97 | $98.19 | $133.16 | |
United
| Professional | $50.93 | $55.40 | $92.33 |