| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $46.50 | $46.50 | $58.13 | |
Medica
| Facility | $185.08 | $329.72 | $329.72 | |
Medica
| Professional | $352.73 | $352.73 | $352.73 | |
Midlands
| Facility | $49.59 | $64.27 | $73.54 | |
Midlands
| Professional | $49.59 | $71.95 | $107.94 |