| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $93.33 | $93.33 | $114.82 | |
Medica
| Facility | $64.57 | $93.33 | $269.15 | |
Medica
| Professional | $67.61 | $239.88 | $239.88 | |
Midlands
| Professional | $83.18 | $83.18 | $83.18 | |
Midlands
| Professional | $95.50 | $95.50 | $95.50 |