| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $758.58 | $758.58 | $758.58 | |
Medica
| Facility | $1,258.93 | $4,073.80 | $4,073.80 | |
United
| Facility | $707.95 | $707.95 | $758.58 | |
United
| Professional | $676.08 | $891.25 | $1,230.27 |