| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $42.00 | $42.00 | $52.50 | |
Medica
| Facility | $106.63 | $106.63 | $160.91 | |
Medica
| Professional | $467.87 | $467.87 | $467.87 | |
Midlands
| Facility | $95.44 | $95.44 | $113.32 | |
Midlands
| Professional | $90.23 | $102.00 | $137.86 |