| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $102.52 | $128.15 | $157.90 | |
Medica
| Facility | $55.03 | $88.09 | $102.27 | |
Medica
| Professional | $318.20 | $318.20 | $318.20 | |
Midlands
| Facility | $55.00 | $55.00 | $55.00 | |
Midlands
| Professional | $50.00 | $60.21 | $97.24 |