| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $22.39 | $27.54 | $34.67 | |
Medica
| Facility | $18.20 | $79.43 | $100.00 | |
Medica
| Professional | $21.88 | $77.62 | $89.13 | |
Midlands
| Professional | $18.20 | $18.20 | $33.11 | |
United
| Professional | $13.18 | $15.49 | $30.90 |