| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1.12 | $1.12 | $1.41 | |
Medica
| Facility | $95.00 | $95.00 | $95.00 | |
Medica
| Professional | $0.26 | $0.64 | $5.08 | |
Midlands
| Facility | $0.90 | $5.01 | $5.01 | |
Midlands
| Professional | $5.01 | $5.01 | $5.01 | |
United
| Professional | $0.27 | $0.68 | $1.19 |