| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $512.86 | $660.69 | $1,071.52 | |
Medica
| Facility | $380.19 | $512.86 | $1,148.15 | |
Medica
| Professional | $416.87 | $724.44 | $891.25 | |
United
| Professional | $416.87 | $724.44 | $891.25 |