| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $331.58 | $331.58 | $414.47 | |
Medica
| Facility | $216.00 | $719.85 | $719.85 | |
Medica
| Professional | $216.00 | $271.74 | $388.90 | |
Midlands
| Facility | $170.00 | $230.74 | $371.75 | |
Midlands
| Professional | $206.00 | $289.47 | $393.86 |