| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $524.81 | $524.81 | $524.81 | |
Medica
| Facility | $776.25 | $1,819.70 | $1,819.70 | |
Medica
| Professional | $2,238.72 | $2,238.72 | $2,238.72 | |
United
| Facility | $223.87 | $446.68 | $446.68 | |
United
| Professional | $190.55 | $269.15 | $446.68 |