| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $83.18 | $91.20 | $104.71 | |
Medica
| Facility | $79.43 | $85.11 | $120.23 | |
Medica
| Professional | $97.72 | $97.72 | $109.65 | |
United
| Facility | $79.43 | $79.43 | $79.43 | |
United
| Professional | $97.72 | $97.72 | $104.71 |