| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $229.09 | $288.40 | $389.05 | |
Medica
| Facility | $389.05 | $389.05 | $389.05 | |
Medica
| Professional | $43.65 | $602.56 | $794.33 | |
United
| Facility | $35.48 | $36.31 | $40.74 | |
United
| Professional | $34.67 | $66.07 | $120.23 |