| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $50.95 | $63.68 | $105.03 | |
Hally Health
| Professional | $100.00 | $150.00 | $220.41 | |
Medica
| Facility | $43.22 | $60.78 | $92.59 | |
Medica
| Professional | $58.96 | $258.29 | $258.29 | |
Midlands
| Facility | $60.00 | $60.00 | $60.00 | |
Midlands
| Professional | $55.00 | $60.00 | $105.82 |