| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $3.80 | $3.80 | $3.80 | |
Medica
| Facility | $3.63 | $7.08 | $100.00 | |
Medica
| Professional | $4.47 | $5.25 | $5.62 | |
United
| Facility | $2.09 | $5.89 | $5.89 | |
United
| Professional | $4.79 | $5.25 | $5.25 |