| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $28.18 | $47.86 | $58.88 | |
Medica
| Facility | $27.54 | $35.48 | $177.83 | |
Medica
| Professional | $45.71 | $45.71 | $45.71 | |
Midlands
| Professional | $21.88 | $21.88 | $21.88 | |
Midlands
| Facility | $21.88 | $21.88 | $21.88 |