| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $12.39 | $19.57 | $24.48 | |
Medica
| Facility | $15.82 | $90.00 | $90.00 | |
Medica
| Professional | $20.00 | $20.00 | $20.00 | |
Midlands
| Facility | $9.68 | $9.68 | $13.56 | |
Midlands
| Professional | $13.56 | $18.00 | $23.20 |