| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $136.09 | $136.09 | $170.11 | |
Medica
| Facility | $90.00 | $90.00 | $349.00 | |
Medica
| Professional | $47.16 | $86.00 | $627.00 | |
Midlands
| Facility | $27.91 | $35.06 | $90.00 | |
Midlands
| Professional | $35.06 | $70.70 | $97.55 |