| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $30.90 | $30.90 | $37.15 | |
Medica
| Facility | $288.40 | $288.40 | $316.23 | |
Medica
| Professional | $575.44 | $575.44 | $575.44 | |
United
| Facility | $630.96 | $676.08 | $676.08 | |
United
| Professional | $8.51 | $11.22 | $13.49 |