| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $106.13 | $108.25 | $132.66 | |
Medica
| Professional | $583.55 | $583.55 | $583.55 | |
Midlands
| Facility | $149.82 | $149.82 | $149.82 | |
Midlands
| Professional | $115.60 | $149.82 | $309.64 |