| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $151.26 | $151.26 | $189.08 | |
Medica
| Facility | $39.17 | $54.77 | $332.35 | |
Medica
| Professional | $39.00 | $272.41 | $272.41 | |
Midlands
| Facility | $67.00 | $67.00 | $67.00 | |
Midlands
| Professional | $39.00 | $62.00 | $135.26 |