| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $83.18 | $87.10 | $104.71 | |
Medica
| Facility | $79.43 | $95.50 | $177.83 | |
Medica
| Professional | $85.11 | $100.00 | $114.82 | |
United
| Facility | $97.72 | $97.72 | $97.72 | |
United
| Professional | $89.13 | $97.72 | $112.20 |