| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $973.30 | $973.30 | $1,166.11 | |
Medica
| Facility | $4,137.00 | $26,542.00 | $26,542.00 | |
Medica
| Professional | $1,525.77 | $1,525.77 | $1,525.77 | |
United
| Professional | $253.35 | $310.02 | $385.66 |