| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $275.70 | $275.70 | $275.70 | |
Cigna
| Facility | $226.63 | $226.63 | $226.63 | |
Medica
| Facility | $90.00 | $275.70 | $468.69 | |
Medica
| Professional | $260.31 | $260.31 | $260.31 | |
Midlands
| Professional | $310.92 | $310.92 | $357.90 |