| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $57.65 | $303.07 | $378.84 | |
Medica
| Facility | $214.60 | $214.60 | $214.60 | |
Medica
| Professional | $216.00 | $638.00 | $687.43 | |
Midlands
| Facility | $154.06 | $154.06 | $210.58 | |
Midlands
| Professional | $56.16 | $199.67 | $278.64 |