| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $234.42 | $371.54 | $588.84 | |
Medica
| Facility | $275.42 | $275.42 | $371.54 | |
Medica
| Professional | $562.34 | $776.25 | $776.25 | |
United
| Professional | $83.18 | $120.23 | $158.49 |