| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $31.62 | $31.62 | $31.62 | |
Medica
| Facility | $28.18 | $79.43 | $100.00 | |
Medica
| Professional | $25.70 | $30.20 | $34.67 | |
United
| Facility | $12.02 | $12.02 | $30.20 | |
United
| Professional | $30.20 | $30.20 | $34.67 |