| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $16.60 | $16.60 | $16.60 | |
Health Alliance Plan
| Professional | $851.14 | $977.24 | $1,348.96 | |
Priority Health
| Professional | $16.60 | $16.60 | $16.60 | |
United
| Professional | $34.67 | $39.81 | $60.26 |