| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $9.98 | $9.98 | $12.47 | |
Medica
| Facility | $1.00 | $9.00 | $25.10 | |
Medica
| Professional | $6.72 | $9.41 | $28.08 | |
Midlands
| Facility | $1.00 | $11.76 | $14.04 | |
Midlands
| Professional | $6.72 | $13.78 | $28.08 |