| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $115.64 | $115.64 | $120.95 | |
Medica
| Facility | $169.74 | $169.74 | $169.74 | |
Medica
| Professional | $98.00 | $330.05 | $356.22 | |
Midlands
| Facility | $65.97 | $88.88 | $117.00 | |
Midlands
| Professional | $88.88 | $116.14 | $149.56 |