| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $18.86 | $23.58 | $30.84 | |
Medica
| Facility | $13.61 | $19.76 | $245.00 | |
Medica
| Professional | $280.00 | $280.00 | $280.00 | |
Midlands
| Facility | $10.00 | $10.00 | $10.00 | |
Midlands
| Professional | $10.00 | $13.73 | $20.49 |