| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $90.76 | $90.76 | $113.45 | |
Medica
| Facility | $67.63 | $88.00 | $123.87 | |
Medica
| Professional | $69.00 | $264.00 | $264.00 | |
Midlands
| Facility | $48.61 | $80.11 | $86.00 | |
Midlands
| Professional | $51.22 | $80.11 | $93.48 |