| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $416.87 | $416.87 | $524.81 | |
Medica
| Facility | $281.84 | $758.58 | $758.58 | |
Medica
| Professional | $144.54 | $398.11 | $1,174.90 | |
Midlands
| Professional | $281.84 | $281.84 | $309.03 | |
Midlands
| Professional | $281.84 | $309.03 | $416.87 | |
United
| Professional | $363.08 | $363.08 | $363.08 |