| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $288.40 | $478.63 | $575.44 | |
Medica
| Facility | $302.00 | $302.00 | $758.58 | |
Medica
| Professional | $1,174.90 | $1,174.90 | $1,174.90 | |
United
| Facility | $26.30 | $58.88 | $95.50 | |
United
| Professional | $177.83 | $199.53 | $302.00 |