| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $169.82 | $169.82 | $213.80 | |
Medica
| Facility | $91.20 | $158.49 | $275.42 | |
Medica
| Professional | $134.90 | $426.58 | $426.58 | |
Midlands
| Professional | $151.36 | $151.36 | $162.18 |