| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $29.51 | $29.51 | $32.36 | |
Medica
| Facility | $288.40 | $316.23 | $316.23 | |
Medica
| Professional | $11.75 | $575.44 | $575.44 | |
United
| Facility | $134.90 | $630.96 | $630.96 | |
United
| Professional | $6.76 | $10.00 | $15.14 |