| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $97.68 | $113.25 | $141.57 | |
Medica
| Facility | $66.83 | $99.77 | $338.91 | |
Medica
| Professional | $78.00 | $309.91 | $309.91 | |
Midlands
| Facility | $97.00 | $97.00 | $97.00 | |
Midlands
| Professional | $78.00 | $115.27 | $267.01 |