| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $43.61 | $54.52 | $67.17 | |
Medica
| Facility | $55.89 | $79.05 | $125.21 | |
Medica
| Professional | $358.72 | $358.72 | $358.72 | |
Midlands
| Facility | $72.00 | $72.00 | $72.00 | |
Midlands
| Professional | $66.00 | $80.44 | $129.47 |