| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $370.88 | $374.58 | $463.59 | |
Medica
| Professional | $2,110.46 | $2,110.46 | $2,110.46 | |
Midlands
| Facility | $1,118.66 | $1,118.66 | $1,118.66 | |
Midlands
| Professional | $1,118.66 | $1,118.66 | $1,303.27 |