| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $5.29 | $5.29 | $6.61 | |
Medica
| Facility | $100.00 | $100.00 | $100.00 | |
Medica
| Professional | $1.00 | $1.00 | $1.00 | |
Midlands
| Facility | $3.86 | $4.38 | $6.98 | |
Midlands
| Professional | $1.67 | $4.38 | $8.77 |