| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $6.31 | $6.31 | $7.94 | |
Medica
| Facility | $100.00 | $100.00 | $100.00 | |
Medica
| Professional | $2.00 | $2.00 | $2.00 | |
Midlands
| Professional | $2.04 | $3.80 | $3.80 | |
United
| Professional | $7.76 | $7.76 | $11.48 |