| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $324.24 | $324.24 | $405.30 | |
Medica
| Facility | $436.37 | $688.14 | $780.06 | |
Medica
| Professional | $563.00 | $1,577.03 | $1,577.03 | |
Midlands
| Facility | $563.00 | $563.00 | $563.00 | |
Midlands
| Professional | $360.00 | $563.00 | $607.33 |