| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $15.49 | $15.49 | $15.49 | |
Medica
| Facility | $15.85 | $16.98 | $194.98 | |
Medica
| Professional | $16.98 | $19.95 | $21.38 | |
United
| Facility | $7.94 | $7.94 | $19.95 | |
United
| Professional | $18.20 | $19.95 | $20.42 |