| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $269.15 | $338.84 | $575.44 | |
Medica
| Facility | $302.00 | $758.58 | $758.58 | |
Medica
| Professional | $1,174.90 | $1,174.90 | $1,174.90 | |
United
| Facility | $36.31 | $128.82 | $229.09 | |
United
| Professional | $128.82 | $186.21 | $354.81 |