| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $314.16 | $314.16 | $392.70 | |
Medica
| Facility | $204.48 | $210.63 | $499.65 | |
Medica
| Professional | $209.00 | $775.00 | $775.00 | |
Midlands
| Facility | $266.00 | $266.00 | $266.00 | |
Midlands
| Professional | $209.00 | $266.00 | $288.13 |