| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $100.13 | $100.13 | $125.16 | |
Medica
| Facility | $95.49 | $95.49 | $286.44 | |
Medica
| Professional | $134.00 | $134.00 | $134.00 | |
Midlands
| Professional | $105.17 | $134.00 | $186.32 |