| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $9.77 | $9.77 | $9.77 | |
Medica
| Facility | $8.71 | $10.00 | $100.00 | |
Medica
| Professional | $9.33 | $10.96 | $11.75 | |
United
| Facility | $4.37 | $6.92 | $10.96 | |
United
| Professional | $10.00 | $10.96 | $10.96 |