| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $163.88 | $368.89 | $441.97 | |
Medica
| Facility | $206.26 | $348.00 | $348.00 | |
Medica
| Professional | $459.01 | $459.01 | $459.01 | |
United
| Professional | $85.00 | $85.00 | $85.00 |