| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $4.28 | $4.28 | $5.34 | |
Medica
| Facility | $100.00 | $100.00 | $100.00 | |
Medica
| Professional | $3.00 | $3.00 | $3.00 | |
Midlands
| Facility | $5.00 | $5.36 | $5.65 | |
Midlands
| Professional | $2.31 | $5.36 | $11.43 |