| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $340.95 | $347.63 | $428.34 | |
Medica
| Professional | $228.13 | $228.13 | $228.13 | |
Midlands
| Facility | $198.26 | $198.26 | $198.26 | |
Midlands
| Professional | $157.85 | $198.26 | $259.85 |