| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $60.50 | $60.50 | $75.63 | |
Medica
| Facility | $45.54 | $58.15 | $103.41 | |
Medica
| Professional | $46.00 | $161.76 | $161.76 | |
Midlands
| Facility | $32.15 | $52.98 | $57.00 | |
Midlands
| Professional | $34.01 | $52.98 | $60.65 |