| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,116.00 | $1,182.96 | $1,395.00 | |
Hally Health
| Professional | $150.00 | $150.00 | $150.00 | |
Medica
| Facility | $478.51 | $478.51 | $1,378.16 | |
Medica
| Professional | $230.41 | $2,588.32 | $2,588.32 | |
Midlands
| Facility | $343.17 | $478.51 | $478.51 | |
Midlands
| Professional | $230.41 | $434.60 | $478.51 |