| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $49.64 | $49.64 | $62.06 | |
Medica
| Facility | $40.65 | $47.47 | $73.53 | |
Medica
| Professional | $41.00 | $165.00 | $165.00 | |
Midlands
| Facility | $26.33 | $43.38 | $46.00 | |
Midlands
| Professional | $26.33 | $44.00 | $49.00 |