| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $185.39 | $185.39 | $231.74 | |
Hally Health
| Professional | $150.00 | $150.00 | $301.81 | |
Medica
| Facility | $179.04 | $219.35 | $398.18 | |
Medica
| Professional | $165.39 | $216.00 | $919.93 | |
Midlands
| Facility | $191.00 | $191.00 | $191.00 | |
Midlands
| Professional | $91.54 | $191.00 | $258.00 |