| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $4.84 | $4.84 | $6.05 | |
Medica
| Facility | $3.00 | $35.02 | $102.08 | |
Medica
| Professional | $1.78 | $3.26 | $7.15 | |
Midlands
| Facility | $1.00 | $3.00 | $5.51 | |
Midlands
| Professional | $1.77 | $3.00 | $7.15 |