| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $46.77 | $46.77 | $57.54 | |
Medica
| Facility | $186.21 | $331.13 | $331.13 | |
Medica
| Professional | $354.81 | $354.81 | $354.81 | |
Midlands
| Professional | $64.57 | $64.57 | $64.57 | |
Midlands
| Professional | $64.57 | $177.83 | $177.83 |