| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $3,715.35 | $3,715.35 | $3,715.35 | |
Medica
| Facility | $5,128.61 | $11,748.98 | $11,748.98 | |
Medica
| Professional | $4,073.80 | $11,748.98 | $11,748.98 | |
United
| Facility | $1,445.44 | $2,951.21 | $2,951.21 | |
United
| Professional | $1,230.27 | $1,737.80 | $2,951.21 |