| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $102.98 | $102.98 | $128.72 | |
Medica
| Facility | $163.98 | $505.25 | $505.25 | |
Medica
| Professional | $62.00 | $62.00 | $62.00 | |
Midlands
| Facility | $80.25 | $121.26 | $201.66 | |
Midlands
| Professional | $62.00 | $86.10 | $206.48 |