| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $104.04 | $104.04 | $130.05 | |
Medica
| Facility | $61.00 | $227.16 | $227.16 | |
Medica
| Professional | $61.00 | $85.51 | $121.13 | |
Midlands
| Facility | $47.00 | $71.90 | $115.45 | |
Midlands
| Professional | $61.00 | $89.96 | $123.32 |