| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $12.49 | $20.92 | $35.81 | |
Medica
| Facility | $37.00 | $37.00 | $37.00 | |
Medica
| Professional | $32.00 | $183.00 | $268.88 | |
Midlands
| Facility | $29.64 | $29.64 | $37.00 | |
Midlands
| Professional | $29.64 | $37.00 | $49.69 |