| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $208.93 | $208.93 | $263.03 | |
Medica
| Facility | $128.82 | $181.97 | $426.58 | |
Medica
| Professional | $169.82 | $199.53 | $758.58 | |
Midlands
| Professional | $199.53 | $199.53 | $199.53 |