| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $912.01 | $1,905.46 | $26,915.35 | |
Medica
| Facility | $676.08 | $2,041.74 | $17,782.79 | |
Medica
| Professional | $9,120.11 | $15,488.17 | $23,442.29 | |
United
| Professional | $831.76 | $7,943.28 | $22,387.21 |