| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $9.77 | $9.77 | $12.30 | |
Medica
| Facility | $9.55 | $16.60 | $100.00 | |
Medica
| Professional | $9.77 | $10.96 | $10.96 | |
Midlands
| Professional | $5.25 | $10.00 | $10.00 | |
United
| Facility | $4.17 | $6.92 | $11.22 | |
United
| Professional | $10.96 | $10.96 | $12.02 |