| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $105.18 | $130.11 | $162.63 | |
Medica
| Facility | $156.06 | $229.28 | $1,300.00 | |
Medica
| Professional | $347.00 | $876.00 | $876.00 | |
Midlands
| Facility | $70.48 | $70.48 | $265.00 | |
Midlands
| Professional | $70.48 | $127.90 | $265.00 |