| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $308.47 | $308.47 | $385.59 | |
Medica
| Facility | $311.00 | $311.00 | $311.00 | |
Medica
| Professional | $659.40 | $659.40 | $659.40 | |
Midlands
| Professional | $223.18 | $243.47 | $372.85 |