| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $711.39 | $1,007.23 | $1,232.50 | |
Medica
| Facility | $678.55 | $4,137.00 | $4,137.00 | |
Medica
| Professional | $1,525.77 | $1,525.77 | $1,525.77 | |
United
| Professional | $226.20 | $280.02 | $517.60 |