| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CDPHP
| Facility | $114.82 | $114.82 | $114.82 | |
CDPHP
| Professional | $83.18 | $114.82 | $114.82 | |
Cigna
| Professional | $125.89 | $125.89 | $158.49 | |
United
| Facility | $47.86 | $69.18 | $74.13 | |
United
| Professional | $30.20 | $47.86 | $85.11 |