| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $16.91 | $21.14 | $26.32 | |
Medica
| Facility | $29.70 | $49.99 | $99.16 | |
Medica
| Professional | $29.37 | $35.83 | $125.69 | |
Midlands
| Facility | $32.13 | $34.00 | $35.21 | |
Midlands
| Professional | $29.37 | $34.00 | $53.80 |