| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $138.85 | $138.85 | $173.56 | |
Medica
| Facility | $73.23 | $131.11 | $442.12 | |
Medica
| Professional | $75.00 | $303.05 | $303.05 | |
Midlands
| Facility | $73.78 | $103.00 | $121.58 | |
Midlands
| Professional | $73.78 | $94.00 | $133.06 |