| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $236.85 | $387.42 | $666.13 | |
Hally Health
| Professional | $150.00 | $585.00 | $585.00 | |
Medica
| Facility | $188.84 | $356.79 | $620.23 | |
Medica
| Professional | $275.04 | $1,021.00 | $3,046.00 | |
Midlands
| Facility | $406.00 | $406.00 | $406.00 | |
Midlands
| Professional | $207.47 | $406.00 | $476.77 |