| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $39.90 | $72.17 | $197.16 | |
Medica
| Facility | $258.69 | $258.69 | $258.69 | |
Medica
| Professional | $119.81 | $364.11 | $364.11 | |
Midlands
| Facility | $93.08 | $116.00 | $116.90 | |
Midlands
| Professional | $77.45 | $116.90 | $158.16 |