| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $575.44 | $616.60 | $724.44 | |
Medica
| Facility | $85.11 | $2,089.30 | $2,089.30 | |
Medica
| Professional | $19.05 | $524.81 | $524.81 | |
Midlands
| Professional | $19.95 | $19.95 | $19.95 |