| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $374.66 | $374.66 | $468.33 | |
Hally Health
| Professional | $150.00 | $150.00 | $358.48 | |
Medica
| Facility | $162.07 | $215.58 | $352.50 | |
Medica
| Professional | $119.00 | $211.00 | $648.24 | |
Midlands
| Facility | $211.00 | $211.00 | $211.00 | |
Midlands
| Professional | $119.00 | $211.00 | $347.11 |