| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $281.84 | $281.84 | $354.81 | |
Medica
| Facility | $213.80 | $213.80 | $537.03 | |
Medica
| Professional | $138.04 | $549.54 | $549.54 | |
Midlands
| Professional | $165.96 | $165.96 | $169.82 |