| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $2,511.89 | $3,019.95 | $3,630.78 | |
Health Alliance Plan
| Facility | $794.33 | $1,862.09 | $2,344.23 | |
Health Alliance Plan
| Professional | $794.33 | $912.01 | $1,258.93 | |
Priority Health
| Professional | $2,511.89 | $2,884.03 | $3,019.95 | |
United
| Facility | $97.72 | $1,819.70 | $3,715.35 | |
United
| Professional | $691.83 | $891.25 | $1,230.27 |