| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $416.87 | $416.87 | $524.81 | |
Medica
| Facility | $275.42 | $676.08 | $676.08 | |
Medica
| Professional | $208.93 | $478.63 | $831.76 | |
Midlands
| Professional | $275.42 | $275.42 | $302.00 | |
Midlands
| Professional | $302.00 | $331.13 | $331.13 |