| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $14.04 | $22.20 | $27.74 | |
Medica
| Facility | $17.93 | $100.00 | $100.00 | |
Medica
| Professional | $23.00 | $23.00 | $23.00 | |
Midlands
| Facility | $10.95 | $10.95 | $15.35 | |
Midlands
| Professional | $15.35 | $21.00 | $26.23 |