| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $114.09 | $144.27 | $180.34 | |
Medica
| Facility | $86.82 | $97.49 | $268.30 | |
Medica
| Professional | $75.00 | $91.59 | $146.00 | |
Midlands
| Facility | $146.00 | $146.00 | $146.00 | |
Midlands
| Professional | $87.91 | $129.00 | $166.57 |