| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $324.24 | $324.24 | $405.30 | |
Medica
| Facility | $155.01 | $402.29 | $822.62 | |
Medica
| Professional | $328.08 | $609.10 | $1,577.03 | |
Midlands
| Facility | $563.00 | $563.00 | $563.00 | |
Midlands
| Professional | $328.08 | $563.00 | $609.10 |