| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $109.32 | $136.63 | $168.37 | |
Medica
| Facility | $66.27 | $108.28 | $133.91 | |
Medica
| Professional | $416.24 | $416.24 | $416.24 | |
Midlands
| Facility | $66.00 | $66.00 | $66.00 | |
Midlands
| Professional | $61.00 | $74.01 | $118.38 |