| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $874.50 | $874.50 | $1,093.13 | |
Medica
| Facility | $1,065.14 | $2,000.00 | $6,000.00 | |
Medica
| Professional | $1,196.01 | $1,967.90 | $2,274.98 | |
United
| Professional | $1,196.01 | $1,967.90 | $2,487.69 |