| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $524.81 | $1,096.48 | $6,025.60 | |
Medica
| Facility | $389.05 | $1,174.90 | $5,011.87 | |
Medica
| Professional | $2,951.21 | $5,495.41 | $6,606.93 | |
United
| Professional | $478.63 | $2,951.21 | $6,309.57 |