| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $232.71 | $232.71 | $290.89 | |
Medica
| Facility | $138.00 | $138.00 | $138.00 | |
Medica
| Professional | $126.00 | $148.38 | $429.80 | |
Midlands
| Facility | $120.50 | $138.00 | $198.58 | |
Midlands
| Professional | $101.78 | $138.00 | $201.37 |