| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $21.68 | $27.42 | $34.27 | |
Medica
| Facility | $18.35 | $27.96 | $90.00 | |
Medica
| Professional | $18.35 | $31.50 | $33.50 | |
Midlands
| Facility | $19.73 | $27.96 | $34.50 | |
Midlands
| Professional | $18.35 | $33.32 | $39.90 |