| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $141.25 | $141.25 | $177.83 | |
Medica
| Facility | $72.44 | $117.49 | $446.68 | |
Medica
| Professional | $75.86 | $302.00 | $302.00 | |
Midlands
| Professional | $89.13 | $89.13 | $93.33 |