| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $52.48 | $52.48 | $66.07 | |
Medica
| Facility | $30.90 | $33.88 | $138.04 | |
Medica
| Professional | $24.55 | $43.65 | $50.12 | |
Midlands
| Professional | $24.55 | $24.55 | $24.55 | |
Midlands
| Facility | $24.55 | $24.55 | $24.55 |