| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,905.46 | $1,905.46 | $2,398.83 | |
Medica
| Facility | $1,513.56 | $1,778.28 | $3,630.78 | |
Medica
| Professional | $1,659.59 | $1,819.70 | $5,370.32 | |
Midlands
| Professional | $1,778.28 | $1,778.28 | $1,778.28 |