| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $34.28 | $42.85 | $196.72 | |
Medica
| Facility | $28.94 | $84.48 | $193.91 | |
Medica
| Professional | $29.21 | $134.55 | $322.23 | |
Midlands
| Facility | $82.73 | $82.73 | $107.21 | |
Midlands
| Professional | $29.21 | $107.21 | $140.27 |