| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $178.66 | $215.65 | $269.56 | |
Medica
| Facility | $228.74 | $228.74 | $658.49 | |
Medica
| Professional | $602.00 | $693.25 | $693.25 | |
Midlands
| Facility | $132.38 | $166.00 | $166.26 | |
Midlands
| Professional | $132.38 | $166.26 | $225.23 |