| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $194.78 | $446.75 | $614.52 | |
Hally Health
| Professional | $150.00 | $535.88 | $535.88 | |
Medica
| Facility | $156.47 | $338.78 | $609.78 | |
Medica
| Professional | $227.56 | $887.00 | $2,600.00 | |
Midlands
| Facility | $358.00 | $358.00 | $358.00 | |
Midlands
| Professional | $169.27 | $358.00 | $402.27 |