| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $87.10 | $87.10 | $104.71 | |
Medcost
| Professional | $123.03 | $131.83 | $131.83 | |
Medcost
| Facility | $83.18 | $97.72 | $120.23 | |
Medcost
| Professional | $85.11 | $85.11 | $97.72 | |
United
| Professional | $97.72 | $104.71 | $109.65 |