| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $110.15 | $110.15 | $137.69 | |
Medica
| Facility | $118.46 | $121.73 | $348.00 | |
Medica
| Professional | $121.00 | $874.00 | $874.00 | |
Midlands
| Facility | $136.00 | $136.00 | $136.00 | |
Midlands
| Professional | $100.52 | $102.94 | $144.00 |