| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $144.54 | $144.54 | $144.54 | |
Hally Health
| Professional | $151.36 | $151.36 | $151.36 | |
Medica
| Facility | $1.00 | $100.00 | $186.21 | |
Medica
| Professional | $1.66 | $4.17 | $5.25 | |
Midlands
| Professional | $162.18 | $162.18 | $162.18 | |
United
| Facility | $0.04 | $1.66 | $4.17 | |
United
| Professional | $1.66 | $4.17 | $5.37 |