| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,464.53 | $1,464.53 | $1,464.53 | |
Cigna
| Professional | $122.53 | $989.22 | $1,286.80 | |
HMSA
| Professional | $202.25 | $202.25 | $202.25 | |
United
| Professional | $694.46 | $1,307.17 | $1,464.53 |