| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $17.84 | $17.84 | $22.30 | |
Medica
| Facility | $17.20 | $23.90 | $128.99 | |
Medica
| Professional | $69.15 | $69.15 | $69.15 | |
Midlands
| Facility | $23.00 | $23.00 | $23.00 | |
Midlands
| Professional | $19.34 | $21.00 | $23.76 |