| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $43.52 | $54.73 | $74.62 | |
Medica
| Facility | $90.00 | $90.00 | $90.00 | |
Medica
| Professional | $128.10 | $245.65 | $245.65 | |
Midlands
| Facility | $32.86 | $41.28 | $62.00 | |
Midlands
| Professional | $32.86 | $44.92 | $76.45 |