| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $173.78 | $173.78 | $218.78 | |
Medica
| Professional | $134.90 | $239.88 | $933.25 | |
Midlands
| Professional | $218.78 | $302.00 | $457.09 | |
Midlands
| Professional | $338.84 | $338.84 | $354.81 | |
United
| Professional | $144.54 | $239.88 | $416.87 |