| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $234.42 | $234.42 | $295.12 | |
Medica
| Facility | $616.60 | $616.60 | $616.60 | |
Medica
| Professional | $125.89 | $870.96 | $870.96 | |
Midlands
| Professional | $151.36 | $151.36 | $204.17 | |
United
| Facility | $30.20 | $56.23 | $91.20 | |
United
| Professional | $77.62 | $123.03 | $199.53 |