| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $288.83 | $361.05 | $839.94 | |
Medica
| Facility | $2,339.60 | $2,339.60 | $2,339.60 | |
Medica
| Professional | $2,924.50 | $2,924.50 | $2,924.50 | |
United
| Facility | $401.38 | $441.28 | $796.75 |