| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $6.00 | $6.00 | $7.50 | |
Medica
| Facility | $1.00 | $1.00 | $18.11 | |
Medica
| Professional | $18.11 | $18.11 | $18.11 | |
Midlands
| Facility | $0.90 | $1.00 | $18.11 | |
Midlands
| Professional | $18.11 | $18.11 | $18.11 |