| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $146.96 | $154.22 | $184.79 | |
Medica
| Facility | $1,558.96 | $1,558.96 | $2,015.58 | |
Medica
| Professional | $3,048.26 | $3,048.26 | $3,048.26 | |
United
| Facility | $1,326.73 | $1,326.73 | $2,968.00 |