| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $9.98 | $9.98 | $12.47 | |
Medica
| Facility | $510.00 | $510.00 | $510.00 | |
Medica
| Professional | $9.00 | $9.00 | $9.00 | |
Midlands
| Facility | $11.76 | $13.23 | $14.99 | |
Midlands
| Professional | $7.14 | $14.42 | $28.08 |