| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $35.61 | $45.04 | $56.30 | |
Medica
| Facility | $22.12 | $27.81 | $90.00 | |
Medica
| Professional | $22.12 | $27.30 | $46.00 | |
Midlands
| Facility | $22.12 | $22.12 | $46.00 | |
Midlands
| Professional | $22.12 | $40.00 | $51.72 |