| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $5,011.87 | $5,011.87 | $6,309.57 | |
Medica
| Facility | $3,630.78 | $3,630.78 | $3,630.78 | |
Medica
| Professional | $4,897.79 | $8,709.64 | $8,709.64 | |
United
| Professional | $1,513.56 | $1,513.56 | $1,513.56 |