| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $758.58 | $758.58 | $758.58 | |
Cigna
| Professional | $758.58 | $758.58 | $758.58 | |
Priority Health
| Facility | $758.58 | $758.58 | $758.58 | |
Priority Health
| Professional | $758.58 | $758.58 | $758.58 | |
United
| Facility | $724.44 | $724.44 | $724.44 | |
United
| Professional | $676.08 | $758.58 | $1,318.26 |