| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $29.45 | $36.29 | $45.36 | |
Medica
| Facility | $20.93 | $42.41 | $320.00 | |
Medica
| Professional | $320.00 | $320.00 | $320.00 | |
Midlands
| Facility | $26.00 | $26.00 | $26.00 | |
Midlands
| Professional | $23.00 | $30.38 | $43.06 |