| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $161.25 | $204.79 | $467.34 | |
Medica
| Professional | $2,025.09 | $2,025.09 | $2,025.09 | |
Midlands
| Facility | $472.25 | $472.25 | $472.25 | |
Midlands
| Professional | $472.25 | $472.25 | $693.06 |