| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $83.18 | $104.71 | $169.82 | |
Medica
| Facility | $138.04 | $138.04 | $138.04 | |
Medica
| Professional | $15.14 | $218.78 | $354.81 | |
United
| Facility | $11.48 | $12.88 | $14.45 | |
United
| Professional | $12.02 | $22.39 | $48.98 |