| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $897.52 | $897.52 | $1,121.90 | |
Medica
| Facility | $1,139.73 | $8,138.20 | $8,138.20 | |
Medica
| Professional | $832.00 | $2,625.27 | $2,625.27 | |
Midlands
| Facility | $494.08 | $494.08 | $864.54 | |
Midlands
| Professional | $640.32 | $832.00 | $873.36 |