| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $214.26 | $324.24 | $405.30 | |
Medica
| Facility | $387.48 | $467.68 | $470.70 | |
Medica
| Professional | $1,577.03 | $1,577.03 | $1,577.03 | |
Midlands
| Professional | $360.00 | $515.00 | $609.10 |