| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $165.96 | $165.96 | $446.68 | |
Medica
| Facility | $204.17 | $346.74 | $346.74 | |
Medica
| Professional | $457.09 | $457.09 | $457.09 | |
United
| Facility | $91.20 | $91.20 | $91.20 | |
United
| Professional | $70.79 | $91.20 | $117.49 |