| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $83.18 | $83.18 | $102.33 | |
Medica
| Facility | $93.33 | $141.25 | $389.05 | |
Medica
| Professional | $91.20 | $91.20 | $100.00 | |
Midlands
| Professional | $89.13 | $169.82 | $169.82 | |
United
| Facility | $70.79 | $117.49 | $190.55 | |
United
| Professional | $91.20 | $91.20 | $100.00 |