| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $8.25 | $10.31 | $10.31 | |
Hally Health
| Professional | $31.14 | $37.50 | $150.00 | |
Medica
| Facility | $9.02 | $16.89 | $36.60 | |
Medica
| Professional | $12.44 | $18.77 | $22.15 | |
Midlands
| Facility | $10.87 | $23.45 | $23.45 | |
Midlands
| Professional | $10.29 | $11.18 | $23.45 | |
United
| Professional | $18.77 | $21.21 | $22.15 |