| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $105.18 | $131.47 | $287.29 | |
Medica
| Facility | $55.00 | $148.00 | $148.00 | |
Medica
| Professional | $114.80 | $199.53 | $465.40 | |
Midlands
| Facility | $119.98 | $148.00 | $155.49 | |
Midlands
| Professional | $101.58 | $146.00 | $201.47 |