| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $6,165.95 | $6,165.95 | $7,762.47 | |
Hally Health
| Professional | $151.36 | $151.36 | $151.36 | |
Medica
| Facility | $5,370.32 | $7,413.10 | $11,748.98 | |
Medica
| Professional | $6,025.60 | $10,964.78 | $11,748.98 | |
United
| Professional | $1,737.80 | $1,737.80 | $1,737.80 |