| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $92.31 | $92.31 | $115.39 | |
Medica
| Facility | $342.77 | $342.77 | $342.77 | |
Medica
| Professional | $87.00 | $321.69 | $321.69 | |
Midlands
| Facility | $43.04 | $81.00 | $108.61 | |
Midlands
| Professional | $64.58 | $81.00 | $104.00 |