| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,355.47 | $2,142.48 | $2,678.11 | |
Medica
| Facility | $1,612.60 | $1,612.60 | $1,612.60 | |
Midlands
| Facility | $1,946.25 | $1,946.25 | $1,946.25 | |
Midlands
| Professional | $1,946.25 | $1,946.25 | $1,946.25 |