| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Health Alliance Plan
| Facility | $831.76 | $2,041.74 | $2,290.87 | |
Health Alliance Plan
| Professional | $776.25 | $870.96 | $1,096.48 | |
United
| Facility | $42.66 | $1,819.70 | $3,715.35 | |
United
| Professional | $35.48 | $42.66 | $50.12 |