| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $740.79 | $740.79 | $925.99 | |
Medica
| Facility | $159.04 | $457.99 | $840.61 | |
Medica
| Professional | $334.65 | $620.49 | $1,611.85 | |
Midlands
| Facility | $574.00 | $574.00 | $574.00 | |
Midlands
| Professional | $334.65 | $574.00 | $642.00 |