| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $3,467.37 | $3,467.37 | $4,365.16 | |
Medica
| Facility | $6,165.95 | $6,165.95 | $6,165.95 | |
Medica
| Professional | $2,754.23 | $19,498.45 | $19,498.45 | |
United
| Facility | $3,388.44 | $6,760.83 | $6,760.83 |