| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $22.39 | $24.55 | $30.90 | |
Medica
| Facility | $79.43 | $85.11 | $100.00 | |
Medica
| Professional | $77.62 | $77.62 | $89.13 | |
United
| Facility | $10.00 | $13.49 | $19.95 | |
United
| Professional | $10.72 | $13.49 | $21.88 |