| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $441.37 | $441.37 | $551.72 | |
Hally Health
| Professional | $150.00 | $150.00 | $537.20 | |
Medica
| Facility | $284.75 | $385.00 | $567.41 | |
Medica
| Professional | $260.58 | $385.00 | $1,141.00 | |
Midlands
| Facility | $385.00 | $385.00 | $385.00 | |
Midlands
| Professional | $222.05 | $376.17 | $402.76 |