| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $92.31 | $92.31 | $115.39 | |
Medica
| Facility | $56.28 | $82.52 | $243.60 | |
Medica
| Professional | $60.00 | $240.00 | $240.00 | |
Midlands
| Facility | $79.00 | $79.00 | $79.00 | |
Midlands
| Professional | $60.00 | $72.00 | $103.82 |