| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $4,543.93 | $6,382.97 | $7,872.46 | |
Medica
| Facility | $4,353.93 | $6,084.33 | $6,084.33 | |
Medica
| Professional | $8,423.81 | $8,423.81 | $8,423.81 | |
United
| Facility | $1,537.00 | $1,537.00 | $1,537.00 |