| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $3,090.30 | $3,630.78 | $4,365.16 | |
Health Alliance Plan
| Facility | $851.14 | $2,089.30 | $2,511.89 | |
Health Alliance Plan
| Professional | $851.14 | $1,096.48 | $1,445.44 | |
Priority Health
| Professional | $3,090.30 | $3,467.37 | $3,715.35 | |
United
| Facility | $97.72 | $1,819.70 | $3,715.35 | |
United
| Professional | $831.76 | $1,071.52 | $1,479.11 |