| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $145.50 | $145.50 | $181.88 | |
Medica
| Professional | $3,048.26 | $3,048.26 | $3,048.26 | |
Midlands
| Facility | $1,799.42 | $1,799.42 | $1,799.42 | |
Midlands
| Professional | $1,799.42 | $1,799.42 | $1,799.42 |