| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $272.27 | $272.27 | $340.34 | |
Medica
| Facility | $385.08 | $385.08 | $385.08 | |
Medica
| Professional | $101.00 | $471.07 | $471.07 | |
Midlands
| Facility | $167.00 | $167.00 | $167.00 | |
Midlands
| Professional | $101.00 | $167.00 | $251.95 |