| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $51.97 | $51.97 | $64.95 | |
Medica
| Facility | $42.77 | $49.72 | $67.98 | |
Medica
| Professional | $44.00 | $176.00 | $176.00 | |
Midlands
| Facility | $27.55 | $45.40 | $49.00 | |
Midlands
| Professional | $27.55 | $48.00 | $53.00 |