| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $89.13 | $89.13 | $89.13 | |
Medica
| Facility | $123.03 | $281.84 | $281.84 | |
Medica
| Professional | $281.84 | $281.84 | $281.84 | |
United
| Facility | $35.48 | $70.79 | $70.79 | |
United
| Professional | $29.51 | $41.69 | $70.79 |