| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $236.76 | $310.27 | $392.51 | |
Hally Health
| Professional | $100.00 | $100.00 | $150.00 | |
Medica
| Facility | $221.11 | $284.24 | $338.98 | |
Medica
| Professional | $198.48 | $702.03 | $826.04 | |
Midlands
| Professional | $198.48 | $313.58 | $371.91 |