| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $346.74 | $346.74 | $426.58 | |
Medica
| Facility | $154.88 | $588.84 | $588.84 | |
Medica
| Professional | $151.36 | $660.69 | $660.69 | |
Midlands
| Professional | $181.97 | $181.97 | $190.55 |