| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,576.00 | $2,172.57 | $2,730.45 | |
Medica
| Facility | $1,491.36 | $8,444.70 | $8,444.70 | |
Medica
| Professional | $4,124.46 | $4,124.46 | $4,124.46 | |
United
| Facility | $1,537.00 | $1,537.00 | $1,537.00 |