| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $31.80 | $50.27 | $62.83 | |
Medica
| Facility | $40.08 | $139.00 | $139.00 | |
Medica
| Professional | $50.00 | $50.00 | $50.00 | |
Midlands
| Facility | $24.56 | $24.56 | $34.39 | |
Midlands
| Professional | $34.39 | $45.00 | $58.82 |