| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $2,923.51 | $6,216.84 | $7,872.46 | |
Medica
| Facility | $55.00 | $55.00 | $6,084.33 | |
Medica
| Professional | $8,423.81 | $8,423.81 | $8,423.81 | |
United
| Facility | $600.00 | $600.00 | $600.00 |