| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $316.98 | $316.98 | $396.22 | |
Medica
| Facility | $217.00 | $699.21 | $699.21 | |
Medica
| Professional | $217.00 | $262.41 | $375.08 | |
Midlands
| Facility | $170.00 | $222.60 | $357.62 | |
Midlands
| Professional | $207.00 | $278.89 | $380.18 |