| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $323.59 | $380.19 | $457.09 | |
Medica
| Facility | $199.53 | $199.53 | $371.54 | |
Medica
| Professional | $407.38 | $524.81 | $524.81 | |
United
| Facility | $91.20 | $91.20 | $91.20 | |
United
| Professional | $83.18 | $102.33 | $128.82 |