| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $85.33 | $85.33 | $106.66 | |
Medica
| Facility | $57.11 | $80.89 | $106.03 | |
Medica
| Professional | $59.00 | $237.00 | $237.00 | |
Midlands
| Facility | $73.00 | $73.00 | $73.00 | |
Midlands
| Professional | $59.00 | $70.00 | $83.18 |