| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $125.89 | $125.89 | $158.49 | |
Priority Health
| Professional | $125.89 | $125.89 | $125.89 | |
United
| Facility | $28.84 | $57.54 | $114.82 | |
United
| Professional | $36.31 | $51.29 | $51.29 |