| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $4,073.80 | $4,073.80 | $4,677.35 | |
Priority Health
| Professional | $4,073.80 | $4,073.80 | $4,073.80 | |
United
| Facility | $1,698.24 | $3,388.44 | $3,715.35 | |
United
| Professional | $1,148.15 | $1,513.56 | $2,187.76 |