| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $2,630.27 | $2,630.27 | $3,311.31 | |
Medica
| Facility | $4,677.35 | $4,677.35 | $4,677.35 | |
Medica
| Professional | $2,089.30 | $13,489.63 | $13,489.63 | |
United
| Facility | $3,388.44 | $6,760.83 | $6,760.83 |