| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $53.63 | $53.63 | $67.03 | |
Medica
| Facility | $105.12 | $105.12 | $128.54 | |
Medica
| Professional | $251.34 | $251.34 | $251.34 | |
Midlands
| Facility | $83.31 | $83.31 | $90.22 | |
Midlands
| Professional | $69.93 | $83.31 | $113.71 |