| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $165.96 | $165.96 | $165.96 | |
Medica
| Facility | $218.78 | $676.08 | $676.08 | |
Medica
| Professional | $70.79 | $707.95 | $707.95 | |
United
| Facility | $70.79 | $169.82 | $169.82 | |
United
| Professional | $66.07 | $91.20 | $138.04 |