| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $28.84 | $28.84 | $36.31 | |
Medica
| Facility | $18.20 | $28.18 | $89.13 | |
Medica
| Professional | $18.20 | $31.62 | $39.81 | |
Midlands
| Professional | $19.95 | $19.95 | $58.88 | |
United
| Facility | $15.14 | $15.14 | $18.20 | |
United
| Professional | $9.12 | $9.12 | $9.12 |