| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CDPHP
| Facility | $2,951.21 | $2,951.21 | $2,951.21 | |
CDPHP
| Professional | $2,137.96 | $2,951.21 | $2,951.21 | |
Cigna
| Professional | $3,890.45 | $3,890.45 | $4,677.35 | |
United
| Professional | $1,230.27 | $1,737.80 | $2,884.03 |