| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $8.57 | $8.57 | $8.57 | |
Cigna
| Professional | $7.83 | $8.57 | $8.57 | |
Medica
| Facility | $8.58 | $9.93 | $100.00 | |
Medica
| Professional | $17.82 | $20.65 | $22.52 | |
United
| Professional | $17.82 | $19.14 | $22.52 |