| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $415.78 | $415.78 | $519.72 | |
Hally Health
| Professional | $150.00 | $150.00 | $386.49 | |
Medica
| Facility | $168.55 | $220.00 | $393.30 | |
Medica
| Professional | $119.00 | $220.00 | $720.48 | |
Midlands
| Facility | $220.00 | $220.00 | $220.00 | |
Midlands
| Professional | $119.00 | $220.00 | $386.64 |