| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $24.15 | $30.19 | $122.71 | |
Medica
| Facility | $28.76 | $91.71 | $105.99 | |
Medica
| Professional | $93.35 | $93.35 | $198.55 | |
Midlands
| Facility | $51.74 | $51.74 | $67.05 | |
Midlands
| Professional | $29.35 | $67.05 | $87.20 |