| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,348.96 | $1,348.96 | $1,698.24 | |
Medica
| Facility | $1,621.81 | $1,621.81 | $1,949.84 | |
United
| Facility | $389.05 | $660.69 | $1,621.81 | |
United
| Professional | $467.74 | $467.74 | $691.83 |