| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $3,715.35 | $3,715.35 | $4,466.84 | |
Medica
| Facility | $4,570.88 | $4,570.88 | $4,570.88 | |
Medica
| Professional | $3,388.44 | $15,848.93 | $15,848.93 | |
United
| Professional | $3,548.13 | $3,548.13 | $3,981.07 |