| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,648.17 | $1,648.17 | $1,648.17 | |
Cigna
| Professional | $140.82 | $1,122.47 | $1,448.15 | |
HMSA
| Professional | $194.83 | $2,865.75 | $3,000.78 | |
United
| Professional | $782.08 | $1,472.09 | $1,648.17 |