| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $28.50 | $45.04 | $56.30 | |
Medica
| Facility | $35.86 | $35.86 | $113.00 | |
Medica
| Professional | $46.00 | $46.00 | $46.00 | |
Midlands
| Facility | $22.12 | $22.12 | $22.12 | |
Midlands
| Professional | $33.09 | $42.00 | $52.95 |