| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $3.75 | $3.75 | $4.69 | |
Medica
| Facility | $100.00 | $100.00 | $100.00 | |
Medica
| Professional | $1.00 | $1.00 | $1.00 | |
Midlands
| Facility | $1.10 | $2.08 | $2.74 | |
Midlands
| Professional | $1.10 | $2.74 | $4.57 |