| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $87.10 | $134.90 | $245.47 | |
Medica
| Facility | $676.08 | $676.08 | $676.08 | |
Medica
| Professional | $316.23 | $416.87 | $416.87 | |
Midlands
| Professional | $63.10 | $63.10 | $104.71 |