| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $22.99 | $22.99 | $28.73 | |
Medica
| Facility | $90.00 | $90.00 | $90.00 | |
Midlands
| Facility | $28.31 | $28.31 | $39.04 | |
Midlands
| Professional | $28.31 | $64.65 | $64.65 |
Hosp Outpt Clinic Spec Collect
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $22.99 | $22.99 | $28.73 | |
Medica
| Facility | $90.00 | $90.00 | $90.00 | |
Midlands
| Facility | $28.31 | $28.31 | $39.04 | |
Midlands
| Professional | $28.31 | $64.65 | $64.65 |