| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $30.20 | $30.20 | $37.15 | |
Medica
| Facility | $61.66 | $89.13 | $89.13 | |
Medica
| Professional | $120.23 | $120.23 | $120.23 | |
United
| Facility | $26.30 | $26.30 | $26.30 | |
United
| Professional | $29.51 | $29.51 | $29.51 |