| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $135.66 | $135.66 | $169.59 | |
Medica
| Facility | $114.00 | $321.18 | $321.18 | |
Medica
| Professional | $113.51 | $124.14 | $162.19 | |
Midlands
| Facility | $89.00 | $114.00 | $153.80 | |
Midlands
| Professional | $96.23 | $124.14 | $165.06 |