| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $138.04 | $138.04 | $173.78 | |
Medica
| Facility | $66.07 | $91.20 | $257.04 | |
Medica
| Professional | $416.87 | $416.87 | $416.87 | |
Midlands
| Professional | $74.13 | $74.13 | $74.13 |