| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $36.14 | $45.70 | $57.12 | |
Medica
| Facility | $20.56 | $28.65 | $174.12 | |
Medica
| Professional | $8.78 | $22.65 | $47.00 | |
Midlands
| Facility | $22.65 | $22.65 | $47.00 | |
Midlands
| Professional | $8.78 | $41.00 | $52.98 |