| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $91.27 | $144.27 | $180.34 | |
Medica
| Facility | $115.50 | $115.50 | $268.30 | |
Medica
| Professional | $146.00 | $146.00 | $146.00 | |
Midlands
| Professional | $106.54 | $134.00 | $170.54 |