| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $314.16 | $314.16 | $392.70 | |
Hally Health
| Professional | $150.00 | $150.00 | $373.80 | |
Medica
| Facility | $192.46 | $266.00 | $384.63 | |
Medica
| Professional | $176.13 | $266.00 | $775.00 | |
Midlands
| Facility | $266.00 | $266.00 | $266.00 | |
Midlands
| Professional | $159.44 | $266.00 | $288.13 |