| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $2,238.72 | $2,238.72 | $2,818.38 | |
Hally Health
| Professional | $151.36 | $151.36 | $151.36 | |
Medica
| Facility | $2,951.21 | $2,951.21 | $3,715.35 | |
Medica
| Professional | $3,715.35 | $7,079.46 | $7,079.46 | |
United
| Professional | $1,230.27 | $1,230.27 | $1,230.27 |