| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $177.63 | $177.63 | $177.63 | |
Medica
| Facility | $840.36 | $20,243.40 | $20,243.40 | |
Medica
| Professional | $1,434.97 | $1,434.97 | $1,434.97 | |
United
| Facility | $600.00 | $600.00 | $600.00 |