| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $49.55 | $61.94 | $97.71 | |
Medica
| Facility | $62.97 | $84.76 | $167.11 | |
Medica
| Professional | $301.00 | $371.24 | $371.24 | |
Midlands
| Facility | $101.00 | $101.00 | $101.00 | |
Midlands
| Professional | $67.91 | $92.00 | $127.39 |