| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $416.87 | $416.87 | $524.81 | |
Medica
| Facility | $758.58 | $758.58 | $758.58 | |
Medica
| Professional | $144.54 | $1,174.90 | $1,174.90 | |
Midlands
| Professional | $173.78 | $173.78 | $257.04 | |
United
| Facility | $30.90 | $69.18 | $104.71 | |
United
| Professional | $138.04 | $218.78 | $354.81 |