| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $204.17 | $204.17 | $257.04 | |
Medica
| Facility | $190.55 | $275.42 | $1,023.29 | |
Medica
| Professional | $223.87 | $1,148.15 | $1,148.15 | |
Midlands
| Professional | $239.88 | $239.88 | $323.59 |