| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $14.79 | $14.79 | $18.20 | |
Medica
| Facility | $15.85 | $89.13 | $169.82 | |
Medica
| Professional | $13.49 | $15.85 | $70.79 | |
Midlands
| Professional | $120.23 | $120.23 | $120.23 | |
United
| Professional | $15.85 | $15.85 | $17.78 |