| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $4.90 | $4.90 | $6.03 | |
Medica
| Facility | $89.13 | $89.13 | $100.00 | |
Medica
| Professional | $21.38 | $21.38 | $21.38 | |
United
| Facility | $2.24 | $2.57 | $4.68 | |
United
| Professional | $2.34 | $2.75 | $4.07 |