| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $3,890.45 | $3,890.45 | $4,677.35 | |
Medica
| Facility | $5,128.61 | $11,748.98 | $11,748.98 | |
Medica
| Professional | $3,090.30 | $4,365.16 | $11,748.98 | |
United
| Professional | $1,230.27 | $1,230.27 | $1,737.80 |