| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $769.50 | $769.50 | $961.88 | |
Medica
| Facility | $61,755.25 | $61,755.25 | $61,755.25 | |
Medica
| Professional | $2,225.30 | $2,225.30 | $2,225.30 | |
Midlands
| Professional | $726.82 | $726.82 | $726.82 |