| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $91.32 | $91.32 | $103.78 | |
Health Alliance Plan
| Facility | $166.93 | $166.93 | $166.93 | |
Health Alliance Plan
| Professional | $159.86 | $166.93 | $199.82 | |
United
| Facility | $160.02 | $160.02 | $160.02 |