| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $186.21 | $186.21 | $229.09 | |
Medica
| Facility | $112.20 | $169.82 | $363.08 | |
Medica
| Professional | $120.23 | $416.87 | $416.87 | |
Midlands
| Professional | $141.25 | $141.25 | $141.25 |