| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $288.40 | $478.63 | $758.58 | |
Priority Health
| Professional | $288.40 | $478.63 | $660.69 | |
United
| Facility | $28.84 | $104.71 | $141.25 | |
United
| Professional | $117.49 | $194.98 | $331.13 |