| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $60.26 | $63.10 | $75.86 | |
Medica
| Facility | $51.29 | $74.13 | $275.42 | |
Medica
| Professional | $239.88 | $295.12 | $1,318.26 | |
United
| Facility | $85.11 | $85.11 | $275.42 | |
United
| Professional | $251.19 | $275.42 | $309.03 |