| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $415.78 | $415.78 | $519.72 | |
Medica
| Facility | $115.01 | $118.75 | $627.45 | |
Medica
| Professional | $119.00 | $720.48 | $720.48 | |
Midlands
| Facility | $220.00 | $220.00 | $220.00 | |
Midlands
| Professional | $119.00 | $220.00 | $386.64 |