| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $446.52 | $446.52 | $558.14 | |
Medica
| Facility | $572.50 | $572.50 | $572.50 | |
Medica
| Professional | $864.22 | $864.22 | $864.22 | |
Midlands
| Facility | $296.30 | $479.22 | $479.22 | |
Midlands
| Professional | $296.30 | $479.22 | $629.65 |