| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $269.15 | $295.12 | $338.84 | |
Medica
| Facility | $275.42 | $275.42 | $1,380.38 | |
Medica
| Professional | $398.11 | $398.11 | $398.11 | |
United
| Professional | $323.59 | $323.59 | $323.59 |