| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $800.25 | $800.25 | $1,000.31 | |
Medica
| Facility | $889.25 | $889.25 | $1,361.46 | |
Medica
| Professional | $889.25 | $889.25 | $965.77 | |
United
| Professional | $755.86 | $889.25 | $995.96 |