| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $102.98 | $102.98 | $128.72 | |
Medica
| Facility | $1.00 | $62.00 | $187.26 | |
Medica
| Professional | $57.57 | $84.13 | $206.48 | |
Midlands
| Facility | $1.00 | $121.26 | $201.66 | |
Midlands
| Professional | $54.84 | $84.66 | $189.36 |