| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $870.96 | $870.96 | $1,096.48 | |
Medica
| Facility | $1,230.27 | $1,445.44 | $4,466.84 | |
Medica
| Professional | $1,023.29 | $1,737.80 | $7,413.10 | |
Midlands
| Professional | $1,479.11 | $1,479.11 | $1,479.11 | |
United
| Professional | $1,023.29 | $1,659.59 | $3,019.95 |