| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $185.39 | $185.39 | $231.74 | |
Medica
| Facility | $191.01 | $211.89 | $435.24 | |
Medica
| Professional | $191.00 | $919.93 | $919.93 | |
Midlands
| Facility | $191.00 | $191.00 | $191.00 | |
Midlands
| Professional | $166.19 | $173.16 | $258.00 |