| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $41.35 | $50.95 | $63.68 | |
Medica
| Facility | $51.54 | $107.53 | $255.78 | |
Medica
| Professional | $258.29 | $258.29 | $258.29 | |
Midlands
| Facility | $60.00 | $60.00 | $60.00 | |
Midlands
| Professional | $55.00 | $60.00 | $108.34 |