| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $229.09 | $229.09 | $229.09 | |
Medica
| Facility | $263.03 | $1,148.15 | $1,148.15 | |
United
| Facility | $89.13 | $89.13 | $223.87 | |
United
| Professional | $223.87 | $223.87 | $223.87 |