| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $141.25 | $141.25 | $173.78 | |
Medica
| Professional | $128.82 | $181.97 | $851.14 | |
Midlands
| Professional | $177.83 | $218.78 | $338.84 | |
Midlands
| Professional | $269.15 | $269.15 | $288.40 | |
United
| Professional | $128.82 | $190.55 | $323.59 |