| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $85.33 | $85.33 | $106.66 | |
Medica
| Facility | $47.87 | $75.86 | $243.60 | |
Medica
| Professional | $49.00 | $201.00 | $201.00 | |
Midlands
| Facility | $64.00 | $64.00 | $64.00 | |
Midlands
| Professional | $49.00 | $59.00 | $87.84 |