| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $93.69 | $93.69 | $117.12 | |
Medica
| Facility | $79.00 | $219.30 | $219.30 | |
Medica
| Professional | $78.59 | $85.35 | $111.17 | |
Midlands
| Facility | $60.00 | $79.00 | $105.88 | |
Midlands
| Professional | $65.95 | $85.35 | $113.13 |