| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $194.98 | $194.98 | $245.47 | |
Medica
| Facility | $257.04 | $257.04 | $257.04 | |
Medica
| Professional | $616.60 | $616.60 | $616.60 | |
United
| Facility | $177.83 | $177.83 | $177.83 | |
United
| Professional | $104.71 | $104.71 | $104.71 |