| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $215.03 | $268.79 | $636.91 | |
Medica
| Facility | $239.80 | $485.77 | $671.35 | |
Medica
| Professional | $495.00 | $1,182.00 | $1,587.96 | |
Midlands
| Facility | $434.00 | $434.00 | $434.00 | |
Midlands
| Professional | $218.19 | $382.00 | $480.00 |