| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $60.50 | $60.50 | $75.63 | |
Medica
| Facility | $49.95 | $65.00 | $89.27 | |
Medica
| Professional | $128.36 | $128.36 | $128.36 | |
Midlands
| Facility | $55.00 | $55.00 | $55.00 | |
Midlands
| Professional | $41.00 | $54.78 | $57.15 |