| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $671.95 | $712.27 | $853.38 | |
Medica
| Facility | $1,017.73 | $2,339.60 | $2,339.60 | |
Medica
| Professional | $614.15 | $867.96 | $2,924.50 | |
United
| Facility | $146.22 | $401.38 | $712.92 |