| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $52.98 | $66.22 | $87.65 | |
Medica
| Facility | $90.00 | $90.00 | $90.00 | |
Medica
| Professional | $58.00 | $153.00 | $227.67 | |
Midlands
| Facility | $38.06 | $38.06 | $50.00 | |
Midlands
| Professional | $38.06 | $54.00 | $64.29 |