| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $109.32 | $134.69 | $168.37 | |
Medica
| Facility | $56.29 | $116.76 | $192.42 | |
Medica
| Professional | $416.24 | $416.24 | $416.24 | |
Midlands
| Facility | $66.00 | $66.00 | $66.00 | |
Midlands
| Professional | $61.00 | $112.30 | $118.38 |