| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $3,002.10 | $3,002.10 | $3,752.63 | |
Health Alliance Plan
| Facility | $2,414.98 | $2,414.98 | $3,018.72 | |
Health Alliance Plan
| Professional | $2,414.98 | $2,414.98 | $3,018.72 |