| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $91.88 | $116.68 | $184.69 | |
Medica
| Professional | $182.20 | $186.40 | $597.26 | |
Midlands
| Facility | $166.43 | $166.43 | $166.43 | |
Midlands
| Professional | $166.43 | $186.40 | $186.40 |