| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $812.83 | $812.83 | $1,023.29 | |
Medica
| Facility | $870.96 | $1,071.52 | $1,071.52 | |
Medica
| Professional | $2,137.96 | $2,137.96 | $2,137.96 | |
United
| Facility | $363.08 | $562.34 | $758.58 | |
United
| Professional | $302.00 | $363.08 | $707.95 |