| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $218.78 | $269.15 | $933.25 | |
Medica
| Facility | $758.58 | $1,737.80 | $1,737.80 | |
Medica
| Professional | $2,187.76 | $2,187.76 | $2,187.76 | |
United
| Facility | $208.93 | $436.52 | $630.96 | |
United
| Professional | $186.21 | $251.19 | $389.05 |