| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $2.19 | $2.19 | $2.19 | |
Cigna
| Professional | $2.19 | $2.19 | $2.19 | |
Medica
| Facility | $3.57 | $3.57 | $100.00 | |
Medica
| Professional | $3.57 | $3.57 | $3.57 | |
United
| Professional | $3.21 | $3.57 | $3.78 |