| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $10.23 | $10.23 | $12.59 | |
Hally Health
| Professional | $151.36 | $151.36 | $151.36 | |
Medica
| Facility | $1.00 | $14.45 | $18.62 | |
Medica
| Professional | $12.88 | $12.88 | $14.45 | |
Midlands
| Professional | $14.45 | $14.45 | $14.45 | |
United
| Professional | $12.88 | $12.88 | $13.49 |