| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $12.88 | $17.78 | $32.36 | |
Medica
| Facility | $85.11 | $144.54 | $144.54 | |
Medica
| Professional | $60.26 | $245.47 | $245.47 | |
Midlands
| Professional | $11.22 | $11.22 | $11.22 | |
Midlands
| Professional | $9.12 | $11.75 | $12.88 |