| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $645.65 | $707.95 | $912.01 | |
Medica
| Facility | $478.63 | $630.96 | $912.01 | |
Medica
| Professional | $588.84 | $588.84 | $3,311.31 | |
United
| Facility | $478.63 | $676.08 | $676.08 | |
United
| Professional | $588.84 | $588.84 | $630.96 |