| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,578.46 | $1,578.46 | $1,973.07 | |
Medica
| Facility | $949.84 | $1,412.64 | $5,707.35 | |
Medica
| Professional | $1,264.00 | $4,246.00 | $4,246.00 | |
Midlands
| Professional | $1,157.00 | $1,264.00 | $1,480.92 |