| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $3.89 | $3.89 | $3.89 | |
Hally Health
| Professional | $44.27 | $54.50 | $63.91 | |
Medica
| Facility | $1.00 | $4.42 | $95.00 | |
Medica
| Professional | $4.42 | $4.42 | $4.42 | |
Midlands
| Facility | $0.90 | $1.00 | $4.42 | |
Midlands
| Professional | $4.42 | $4.42 | $4.42 |