| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $817.50 | $817.50 | $1,021.88 | |
Medica
| Facility | $876.41 | $1,065.60 | $1,065.60 | |
Medica
| Professional | $2,137.79 | $2,137.79 | $2,137.79 | |
United
| Professional | $650.79 | $650.79 | $867.73 |