| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $16,960.00 | $16,960.00 | $16,960.00 | |
HMSA
| Professional | $17,511.20 | $17,511.20 | $17,511.20 | |
United
| Professional | $17,971.20 | $19,200.00 | $28,800.00 | |
University Health Alliance
| Professional | $5,000.00 | $14,416.00 | $20,352.00 |