| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,348.96 | $1,348.96 | $1,698.24 | |
Health Alliance Plan
| Facility | $1,071.52 | $2,818.38 | $3,162.28 | |
Health Alliance Plan
| Professional | $1,071.52 | $1,202.26 | $1,513.56 | |
Priority Health
| Professional | $1,348.96 | $1,348.96 | $1,348.96 | |
United
| Facility | $275.42 | $562.34 | $1,122.02 | |
United
| Professional | $467.74 | $660.69 | $660.69 |