| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $28.88 | $36.67 | $48.75 | |
Medica
| Facility | $90.00 | $90.00 | $100.00 | |
Medica
| Professional | $81.45 | $81.45 | $126.66 | |
Midlands
| Facility | $35.64 | $35.64 | $47.36 | |
Midlands
| Professional | $90.93 | $90.93 | $90.93 |