| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $0.05 | $0.05 | $0.05 | |
Cigna
| Professional | $0.05 | $0.05 | $0.05 | |
Medica
| Facility | $0.05 | $0.06 | $75.86 | |
Medica
| Professional | $0.05 | $0.06 | $0.06 | |
United
| Professional | $0.05 | $0.05 | $0.05 |