| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $97.72 | $97.72 | $123.03 | |
Medica
| Facility | $169.82 | $245.47 | $501.19 | |
Medica
| Professional | $331.13 | $676.08 | $1,778.28 | |
United
| Professional | $316.23 | $575.44 | $831.76 |