| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $29.51 | $29.51 | $36.31 | |
Medica
| Facility | $288.40 | $316.23 | $316.23 | |
Medica
| Professional | $575.44 | $575.44 | $575.44 | |
United
| Facility | $676.08 | $676.08 | $676.08 | |
United
| Professional | $10.00 | $10.00 | $10.00 |