| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $153.47 | $191.85 | $310.86 | |
Medica
| Facility | $145.12 | $296.22 | $395.46 | |
Medica
| Professional | $347.00 | $1,367.00 | $1,367.00 | |
Midlands
| Facility | $258.00 | $258.00 | $258.00 | |
Midlands
| Professional | $153.31 | $258.00 | $274.87 |