| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $23.44 | $27.54 | $34.67 | |
Medica
| Facility | $79.43 | $79.43 | $100.00 | |
Medica
| Professional | $77.62 | $89.13 | $89.13 | |
Midlands
| Professional | $17.38 | $17.38 | $33.11 | |
Midlands
| Professional | $17.38 | $17.38 | $17.38 | |
United
| Professional | $15.49 | $19.05 | $33.11 |