| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $6.38 | $6.38 | $7.97 | |
Medica
| Facility | $100.00 | $100.00 | $100.00 | |
Medica
| Professional | $2.00 | $2.00 | $2.00 | |
Midlands
| Facility | $1.48 | $2.08 | $5.74 | |
Midlands
| Professional | $1.45 | $5.48 | $14.22 |