| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $0.33 | $0.33 | $0.33 | |
Medica
| Facility | $0.31 | $0.43 | $0.71 | |
Medica
| Professional | $0.33 | $0.33 | $851.14 | |
United
| Facility | $0.13 | $0.13 | $0.13 | |
United
| Professional | $0.33 | $0.33 | $0.36 |