| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,443.97 | $3,300.25 | $5,409.81 | |
Medica
| Facility | $55.00 | $55.00 | $5,015.51 | |
Medica
| Professional | $14,660.15 | $14,660.15 | $14,660.15 | |
United
| Facility | $2,858.00 | $3,460.00 | $6,201.00 |