| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $25.19 | $39.82 | $49.78 | |
Medica
| Facility | $31.64 | $31.64 | $100.00 | |
Medica
| Professional | $40.00 | $40.00 | $40.00 | |
Midlands
| Facility | $19.55 | $19.55 | $19.55 | |
Midlands
| Professional | $14.00 | $36.00 | $46.68 |