| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $3,019.95 | $3,019.95 | $3,715.35 | |
Health Alliance Plan
| Facility | $2,570.40 | $6,309.57 | $7,079.46 | |
Health Alliance Plan
| Professional | $2,398.83 | $2,691.53 | $3,388.44 | |
Priority Health
| Professional | $3,019.95 | $3,019.95 | $3,019.95 | |
United
| Professional | $1,047.13 | $1,513.56 | $2,511.89 |