| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $7.59 | $7.59 | $7.59 | |
Medica
| Facility | $9.12 | $17.78 | $100.00 | |
Medica
| Professional | $12.30 | $14.45 | $16.60 | |
United
| Facility | $14.79 | $14.79 | $16.22 | |
United
| Professional | $14.45 | $14.45 | $16.22 |