| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CDPHP
| Facility | $2,511.89 | $2,511.89 | $2,511.89 | |
CDPHP
| Professional | $1,819.70 | $2,511.89 | $2,511.89 | |
Cigna
| Professional | $3,162.28 | $3,162.28 | $3,801.89 | |
United
| Professional | $870.96 | $1,513.56 | $2,511.89 |