| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $251.19 | $257.04 | $323.59 | |
Medica
| Facility | $19,952.62 | $19,952.62 | $19,952.62 | |
Medica
| Professional | $457.09 | $3,801.89 | $3,801.89 | |
United
| Professional | $194.98 | $204.17 | $229.09 |