| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $20.13 | $20.13 | $32.82 | |
Cigna
| Professional | $20.13 | $32.82 | $32.82 | |
Providence
| Facility | $20.13 | $26.01 | $43.62 | |
Providence
| Professional | $20.13 | $32.82 | $32.82 | |
United
| Professional | $13.57 | $13.57 | $16.14 |