| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $28.13 | $28.13 | $35.15 | |
Medica
| Facility | $85.00 | $90.00 | $90.00 | |
Medica
| Professional | $129.85 | $129.85 | $129.85 | |
Midlands
| Facility | $32.53 | $42.15 | $48.92 | |
Midlands
| Professional | $32.53 | $44.31 | $66.61 |