| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $14.16 | $17.45 | $21.81 | |
Medica
| Facility | $20.93 | $42.41 | $90.00 | |
Medica
| Professional | $249.57 | $249.57 | $249.57 | |
Midlands
| Facility | $26.00 | $26.00 | $26.00 | |
Midlands
| Professional | $23.00 | $26.00 | $43.06 |