| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $66.07 | $66.07 | $66.07 | |
Medica
| Facility | $89.13 | $151.36 | $660.69 | |
Medica
| Professional | $107.15 | $125.89 | $144.54 | |
United
| Facility | $50.12 | $97.72 | $125.89 | |
United
| Professional | $125.89 | $125.89 | $144.54 |