| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $97.72 | $97.72 | $120.23 | |
Medica
| Facility | $128.82 | $245.47 | $602.56 | |
Medica
| Professional | $331.13 | $616.60 | $977.24 | |
Midlands
| Professional | $173.78 | $186.21 | $691.83 | |
United
| Professional | $316.23 | $616.60 | $851.14 |