| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $229.61 | $229.61 | $287.01 | |
Medica
| Facility | $621.92 | $621.92 | $621.92 | |
Medica
| Professional | $127.00 | $875.23 | $875.23 | |
Midlands
| Facility | $151.76 | $220.00 | $250.10 | |
Midlands
| Professional | $141.51 | $220.00 | $296.85 |