| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $554.63 | $554.63 | $693.28 | |
Hally Health
| Professional | $150.00 | $150.00 | $493.34 | |
Medica
| Facility | $215.14 | $268.00 | $520.91 | |
Medica
| Professional | $132.00 | $268.00 | $960.33 | |
Midlands
| Facility | $268.00 | $268.00 | $268.00 | |
Midlands
| Professional | $132.00 | $286.08 | $512.62 |