| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $228.38 | $228.38 | $285.47 | |
Medica
| Facility | $1.00 | $269.56 | $323.66 | |
Medica
| Professional | $243.75 | $277.32 | $475.92 | |
Midlands
| Facility | $268.99 | $336.24 | $473.95 | |
Midlands
| Professional | $243.75 | $276.57 | $475.92 |