| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $7,079.46 | $7,244.36 | $8,912.51 | |
Medica
| Facility | $10,232.93 | $10,232.93 | $10,232.93 | |
Medica
| Professional | $19,952.62 | $19,952.62 | $19,952.62 | |
United
| Facility | $4,570.88 | $4,570.88 | $4,570.88 |