| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $34.28 | $54.18 | $67.73 | |
Medica
| Facility | $195.75 | $195.75 | $195.75 | |
Medica
| Professional | $57.00 | $57.00 | $57.00 | |
Midlands
| Facility | $19.63 | $40.60 | $65.56 | |
Midlands
| Professional | $29.09 | $42.88 | $60.20 |