| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $105.18 | $229.83 | $287.29 | |
Medica
| Facility | $133.72 | $133.72 | $133.72 | |
Medica
| Professional | $119.00 | $231.88 | $465.40 | |
Midlands
| Facility | $119.98 | $119.98 | $155.49 | |
Midlands
| Professional | $119.00 | $146.00 | $201.47 |