| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $80.67 | $80.67 | $100.84 | |
Medica
| Facility | $48.45 | $75.87 | $1,791.30 | |
Medica
| Professional | $50.00 | $198.00 | $198.00 | |
Midlands
| Facility | $64.00 | $64.00 | $64.00 | |
Midlands
| Professional | $50.00 | $59.00 | $80.41 |