| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $29.25 | $29.25 | $36.56 | |
Medica
| Facility | $291.11 | $312.62 | $312.62 | |
Medica
| Professional | $569.21 | $569.21 | $569.21 | |
Midlands
| Facility | $16.61 | $16.61 | $16.61 | |
Midlands
| Professional | $13.94 | $16.61 | $22.74 |