| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $210.16 | $264.26 | $442.33 | |
Medica
| Facility | $310.91 | $1,069.90 | $1,069.90 | |
Medica
| Professional | $876.00 | $876.00 | $876.00 | |
United
| Facility | $52.33 | $106.64 | $151.35 |