| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $135.66 | $135.66 | $169.59 | |
Medica
| Facility | $180.39 | $321.18 | $321.18 | |
Medica
| Professional | $114.00 | $114.00 | $114.00 | |
Midlands
| Facility | $96.23 | $120.45 | $153.80 | |
Midlands
| Professional | $96.23 | $124.14 | $178.43 |