| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $335.10 | $335.10 | $418.88 | |
Medica
| Facility | $155.97 | $593.50 | $593.50 | |
Medica
| Professional | $151.00 | $665.33 | $665.33 | |
Midlands
| Facility | $164.25 | $207.00 | $270.68 | |
Midlands
| Professional | $164.25 | $257.13 | $294.27 |