| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $162.18 | $263.03 | $416.87 | |
Medica
| Facility | $199.53 | $199.53 | $371.54 | |
Medica
| Professional | $407.38 | $524.81 | $524.81 | |
United
| Facility | $63.10 | $70.79 | $81.28 | |
United
| Professional | $75.86 | $93.33 | $173.78 |