| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Capital Blue Cross
| Facility | $1,701.81 | $2,209.91 | $8,639.91 | |
Capital Blue Cross
| Professional | $384.32 | $384.32 | $384.32 | |
Cigna
| Professional | $492.75 | $492.75 | $615.94 | |
Priority Health
| Professional | $492.75 | $492.75 | $615.94 |