| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $18.62 | $18.62 | $23.44 | |
Medica
| Facility | $11.75 | $23.99 | $89.13 | |
Medica
| Professional | $11.75 | $21.38 | $26.30 | |
Midlands
| Professional | $11.75 | $11.75 | $11.75 | |
Midlands
| Facility | $11.75 | $11.75 | $11.75 |