| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $208.67 | $208.67 | $260.83 | |
Medica
| Facility | $220.06 | $220.06 | $362.58 | |
Medica
| Professional | $653.00 | $653.00 | $653.00 | |
Midlands
| Facility | $128.06 | $160.00 | $160.85 | |
Midlands
| Professional | $114.91 | $160.85 | $219.06 |