| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $173.78 | $173.78 | $208.93 | |
Medica
| Facility | $112.20 | $181.97 | $331.13 | |
Medica
| Professional | $66.07 | $158.49 | $707.95 | |
United
| Facility | $169.82 | $169.82 | $169.82 | |
United
| Professional | $60.26 | $66.07 | $70.79 |