| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $172.36 | $633.98 | $1,036.96 | |
Cigna
| Facility | $2,683.01 | $2,683.01 | $2,683.01 | |
Medica
| Facility | $0.92 | $12.53 | $2,649.00 | |
United
| Facility | $1,068.00 | $1,711.00 | $3,268.00 |