| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $63.64 | $171.48 | $386.55 | |
Medica
| Professional | $95.00 | $406.32 | $406.32 | |
Midlands
| Facility | $98.99 | $120.00 | $124.33 | |
Midlands
| Professional | $98.99 | $132.00 | $165.21 |