| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $868.78 | $868.78 | $1,085.98 | |
Hally Health
| Professional | $150.00 | $150.00 | $1,514.71 | |
Medica
| Facility | $911.66 | $989.92 | $1,507.35 | |
Medica
| Professional | $798.74 | $1,002.00 | $5,247.00 | |
Midlands
| Facility | $1,002.00 | $1,002.00 | $1,002.00 | |
Midlands
| Professional | $445.90 | $922.00 | $1,100.00 |