| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $263.03 | $316.23 | $933.25 | |
Priority Health
| Professional | $263.03 | $263.03 | $831.76 | |
United
| Facility | $40.74 | $128.82 | $169.82 | |
United
| Professional | $173.78 | $239.88 | $338.84 |