| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $6.53 | $6.53 | $8.16 | |
Medica
| Facility | $100.00 | $100.00 | $100.00 | |
Medica
| Professional | $5.00 | $5.00 | $5.00 | |
Midlands
| Facility | $6.84 | $7.75 | $9.14 | |
Midlands
| Professional | $3.76 | $7.75 | $15.14 |