| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $6.76 | $6.76 | $8.51 | |
Medica
| Facility | $5.37 | $11.48 | $15.49 | |
Medica
| Professional | $11.48 | $12.88 | $1,000.00 | |
Midlands
| Professional | $7.41 | $7.94 | $8.51 | |
Midlands
| Professional | $7.94 | $7.94 | $7.94 | |
United
| Professional | $11.48 | $12.88 | $12.88 |