| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $42.92 | $77.64 | $116.90 | |
Medica
| Facility | $90.00 | $90.00 | $90.00 | |
Medica
| Professional | $125.79 | $364.15 | $364.15 | |
Midlands
| Facility | $56.53 | $71.00 | $98.00 | |
Midlands
| Professional | $46.48 | $71.00 | $112.39 |