| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Capital Blue Cross
| Facility | $723.94 | $848.00 | $8,639.91 | |
Capital Blue Cross
| Professional | $848.00 | $848.00 | $848.00 | |
Cigna
| Professional | $872.64 | $915.84 | $1,097.28 | |
Priority Health
| Professional | $872.64 | $915.84 | $1,097.28 |