| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $501.19 | $512.86 | $645.65 | |
Medica
| Facility | $758.58 | $1,737.80 | $1,737.80 | |
Medica
| Professional | $660.69 | $2,187.76 | $2,187.76 | |
United
| Facility | $218.78 | $436.52 | $602.56 | |
United
| Professional | $186.21 | $263.03 | $575.44 |