| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $16.22 | $35.48 | $53.70 | |
Medica
| Facility | $38.90 | $38.90 | $85.11 | |
Medica
| Professional | $25.12 | $41.69 | $131.83 | |
Midlands
| Professional | $38.90 | $38.90 | $41.69 | |
United
| Professional | $20.42 | $20.42 | $27.54 |