| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $236.67 | $236.67 | $295.83 | |
Medica
| Facility | $165.00 | $535.26 | $535.26 | |
Medica
| Professional | $165.00 | $196.56 | $281.58 | |
Midlands
| Facility | $129.00 | $167.06 | $266.89 | |
Midlands
| Professional | $157.00 | $208.50 | $285.37 |