| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $11.87 | $15.01 | $18.77 | |
Hally Health
| Professional | $150.00 | $150.00 | $150.00 | |
Medica
| Facility | $13.75 | $19.25 | $90.00 | |
Medica
| Professional | $15.49 | $15.49 | $19.63 | |
Midlands
| Facility | $13.75 | $13.75 | $28.26 | |
Midlands
| Professional | $13.75 | $15.20 | $19.63 |