| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $6,165.95 | $6,165.95 | $7,762.47 | |
Medica
| Facility | $11,748.98 | $11,748.98 | $11,748.98 | |
Medica
| Professional | $11,748.98 | $11,748.98 | $11,748.98 | |
United
| Facility | $2,951.21 | $2,951.21 | $2,951.21 | |
United
| Professional | $1,737.80 | $1,737.80 | $1,737.80 |