| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $87.10 | $109.65 | $131.83 | |
Medica
| Facility | $229.09 | $251.19 | $251.19 | |
Medica
| Professional | $389.05 | $389.05 | $389.05 | |
United
| Facility | $1,621.81 | $2,630.27 | $2,951.21 | |
United
| Professional | $81.28 | $91.20 | $141.25 |