| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $6.00 | $6.00 | $7.50 | |
Medica
| Facility | $100.00 | $100.00 | $100.00 | |
Medica
| Professional | $4.00 | $4.00 | $4.00 | |
Midlands
| Facility | $6.87 | $7.29 | $8.06 | |
Midlands
| Professional | $3.48 | $7.63 | $14.33 |