| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $301.75 | $301.75 | $377.18 | |
Hally Health
| Professional | $150.00 | $150.00 | $297.04 | |
Medica
| Facility | $174.00 | $174.00 | $174.00 | |
Medica
| Professional | $101.00 | $174.00 | $522.83 | |
Midlands
| Facility | $174.00 | $174.00 | $174.00 | |
Midlands
| Professional | $101.00 | $174.00 | $280.08 |