| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $173.78 | $173.78 | $208.93 | |
Medcost
| Professional | $141.25 | $141.25 | $141.25 | |
United
| Facility | $60.26 | $85.11 | $141.25 | |
United
| Professional | $60.26 | $63.10 | $112.20 |