| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $158.49 | $158.49 | $199.53 | |
Medica
| Facility | $346.74 | $346.74 | $346.74 | |
Medica
| Professional | $114.82 | $457.09 | $457.09 | |
United
| Professional | $114.82 | $114.82 | $114.82 |