| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $131.83 | $186.21 | $263.03 | |
Medica
| Facility | $199.53 | $199.53 | $371.54 | |
Medica
| Professional | $407.38 | $524.81 | $524.81 | |
United
| Professional | $67.61 | $93.33 | $144.54 |