| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $7.88 | $7.88 | $9.84 | |
Medica
| Facility | $100.00 | $100.00 | $100.00 | |
Medica
| Professional | $11.00 | $11.00 | $11.00 | |
Midlands
| Facility | $6.08 | $6.25 | $10.02 | |
Midlands
| Professional | $6.11 | $9.31 | $12.52 |