| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $372.34 | $372.34 | $465.43 | |
Medica
| Facility | $269.00 | $823.59 | $823.59 | |
Medica
| Professional | $269.00 | $304.67 | $439.26 | |
Midlands
| Facility | $211.00 | $269.00 | $421.00 | |
Midlands
| Professional | $256.00 | $326.52 | $441.78 |