| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $549.54 | $549.54 | $691.83 | |
Priority Health
| Professional | $549.54 | $549.54 | $549.54 | |
United
| Facility | $446.68 | $446.68 | $446.68 | |
United
| Professional | $190.55 | $269.15 | $446.68 |