| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $208.93 | $263.03 | $363.08 | |
Medica
| Facility | $1,071.52 | $1,071.52 | $1,071.52 | |
Medica
| Professional | $229.09 | $870.96 | $870.96 | |
United
| Professional | $77.62 | $112.20 | $131.83 |