| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $37.15 | $46.77 | $63.10 | |
Medica
| Facility | $138.04 | $138.04 | $138.04 | |
Medica
| Professional | $107.15 | $2,951.21 | $2,951.21 | |
Midlands
| Professional | $16.22 | $16.22 | $26.92 |