| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $132.02 | $132.02 | $165.03 | |
Medica
| Facility | $97.00 | $294.30 | $294.30 | |
Medica
| Professional | $97.00 | $110.56 | $155.09 | |
Midlands
| Facility | $92.21 | $115.82 | $147.46 | |
Midlands
| Professional | $92.00 | $115.82 | $158.38 |