| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $90.76 | $90.76 | $113.45 | |
Medica
| Facility | $64.98 | $88.75 | $104.61 | |
Medica
| Professional | $67.00 | $242.00 | $242.00 | |
Midlands
| Facility | $48.46 | $79.87 | $83.00 | |
Midlands
| Professional | $53.47 | $79.87 | $94.19 |