| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $0.05 | $0.09 | $0.13 | |
Cigna
| Professional | $0.04 | $0.04 | $0.05 | |
Medica
| Facility | $0.68 | $1.27 | $4.63 | |
Quartz
| Professional | $0.02 | $0.02 | $0.04 | |
Quartz
| Facility | $100.00 | $100.00 | $100.00 |