| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $43.61 | $53.74 | $67.17 | |
Medica
| Facility | $61.13 | $128.35 | $211.83 | |
Medica
| Professional | $358.72 | $358.72 | $358.72 | |
Midlands
| Facility | $72.00 | $72.00 | $72.00 | |
Midlands
| Professional | $66.00 | $72.00 | $129.47 |