| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $346.74 | $346.74 | $426.58 | |
Medica
| Facility | $208.93 | $588.84 | $588.84 | |
Medica
| Professional | $162.18 | $389.05 | $660.69 | |
Midlands
| Professional | $208.93 | $208.93 | $223.87 | |
Midlands
| Professional | $223.87 | $275.42 | $288.40 |