| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $42.00 | $44.52 | $52.50 | |
Medica
| Professional | $100.94 | $467.87 | $467.87 | |
Midlands
| Facility | $95.44 | $95.44 | $95.44 | |
Midlands
| Professional | $95.44 | $102.00 | $113.32 |