| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $413.45 | $413.45 | $516.80 | |
Medica
| Facility | $115.01 | $118.75 | $627.45 | |
Medica
| Professional | $119.00 | $716.38 | $716.38 | |
Midlands
| Facility | $220.00 | $220.00 | $220.00 | |
Midlands
| Professional | $119.00 | $220.00 | $388.65 |