| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $172.18 | $215.23 | $338.91 | |
Medica
| Facility | $55.00 | $215.00 | $282.10 | |
Medica
| Professional | $154.40 | $396.00 | $1,297.00 | |
Midlands
| Facility | $148.22 | $215.00 | $215.00 | |
Midlands
| Professional | $148.22 | $215.00 | $250.22 |