| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $13.94 | $17.63 | $22.03 | |
Medica
| Facility | $11.75 | $26.60 | $90.00 | |
Medica
| Professional | $11.75 | $21.32 | $26.60 | |
Midlands
| Facility | $11.75 | $11.75 | $24.00 | |
Midlands
| Professional | $11.75 | $21.32 | $27.47 |