| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $14.79 | $14.79 | $14.79 | |
Medica
| Facility | $15.85 | $141.25 | $389.05 | |
Medica
| Professional | $13.49 | $15.85 | $16.98 | |
United
| Facility | $6.46 | $117.49 | $117.49 | |
United
| Professional | $14.45 | $15.85 | $16.22 |