| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $37.47 | $46.38 | $61.69 | |
Medica
| Facility | $139.63 | $139.63 | $139.63 | |
Medica
| Professional | $140.99 | $140.99 | $140.99 | |
Midlands
| Facility | $27.13 | $34.07 | $37.00 | |
Midlands
| Professional | $27.66 | $35.94 | $46.55 |