| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $40.01 | $40.01 | $50.02 | |
Medica
| Facility | $43.67 | $43.67 | $43.67 | |
Medica
| Professional | $44.63 | $44.63 | $44.63 | |
Midlands
| Facility | $43.67 | $43.67 | $43.67 | |
Midlands
| Professional | $43.67 | $43.67 | $44.63 |