| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $31.86 | $31.86 | $37.17 | |
Medica
| Facility | $90.00 | $90.00 | $90.00 | |
Medica
| Professional | $29.00 | $116.00 | $710.85 | |
Midlands
| Facility | $20.92 | $27.91 | $37.00 | |
Midlands
| Professional | $27.91 | $35.79 | $46.94 |