| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $7.16 | $7.16 | $8.94 | |
Medica
| Facility | $100.00 | $100.00 | $100.00 | |
Medica
| Professional | $2.00 | $2.00 | $2.00 | |
Midlands
| Facility | $4.67 | $6.23 | $9.50 | |
Midlands
| Professional | $3.78 | $6.08 | $11.22 |