| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $58.85 | $74.42 | $93.02 | |
Hally Health
| Professional | $109.88 | $109.88 | $150.00 | |
Medica
| Facility | $44.61 | $46.35 | $143.88 | |
Medica
| Professional | $42.00 | $47.41 | $75.00 | |
Midlands
| Facility | $75.00 | $75.00 | $75.00 | |
Midlands
| Professional | $45.39 | $66.00 | $86.00 |