| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $19.48 | $28.32 | $48.69 | |
Medica
| Facility | $30.00 | $30.00 | $90.00 | |
Medica
| Professional | $17.38 | $43.00 | $491.00 | |
Midlands
| Facility | $18.82 | $30.00 | $30.00 | |
Midlands
| Professional | $17.25 | $29.22 | $40.49 |