| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $2,754.23 | $3,311.31 | $3,981.07 | |
Health Alliance Plan
| Facility | $776.25 | $1,905.46 | $2,290.87 | |
Health Alliance Plan
| Professional | $776.25 | $1,000.00 | $1,288.25 | |
Priority Health
| Professional | $2,754.23 | $3,162.28 | $3,311.31 | |
United
| Facility | $97.72 | $1,819.70 | $3,715.35 | |
United
| Professional | $758.58 | $977.24 | $1,348.96 |