| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $489.51 | $740.79 | $925.99 | |
Medica
| Facility | $395.93 | $477.89 | $540.78 | |
Medica
| Professional | $1,611.85 | $1,611.85 | $1,611.85 | |
Midlands
| Professional | $526.00 | $620.49 | $642.00 |