| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $207.24 | $259.05 | $461.62 | |
Medica
| Facility | $220.11 | $355.62 | $702.77 | |
Medica
| Professional | $446.00 | $1,021.00 | $1,149.42 | |
Midlands
| Facility | $393.00 | $393.00 | $393.00 | |
Midlands
| Professional | $190.09 | $337.55 | $400.86 |