| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $254.30 | $254.30 | $882.11 | |
Medica
| Professional | $533.00 | $1,590.89 | $1,590.89 | |
Midlands
| Facility | $386.00 | $386.00 | $386.00 | |
Midlands
| Professional | $297.00 | $353.00 | $798.64 |