| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $223.87 | $223.87 | $223.87 | |
Medica
| Facility | $794.33 | $851.14 | $2,344.23 | |
Medica
| Professional | $181.97 | $213.80 | $257.04 | |
United
| Facility | $85.11 | $85.11 | $213.80 | |
United
| Professional | $213.80 | $213.80 | $257.04 |