| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $309.50 | $309.50 | $386.88 | |
Medica
| Facility | $334.23 | $456.00 | $2,025.75 | |
Medica
| Professional | $301.54 | $935.00 | $5,432.00 | |
Midlands
| Facility | $456.00 | $456.00 | $456.00 | |
Midlands
| Professional | $167.56 | $313.26 | $1,115.00 |