| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $158.49 | $269.15 | $323.59 | |
Medica
| Facility | $223.87 | $223.87 | $616.60 | |
Medica
| Professional | $870.96 | $870.96 | $870.96 | |
United
| Facility | $25.70 | $47.86 | $83.18 | |
United
| Professional | $100.00 | $112.20 | $177.83 |