| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $446.68 | $446.68 | $562.34 | |
Medica
| Facility | $295.12 | $630.96 | $630.96 | |
Medica
| Professional | $218.78 | $512.86 | $891.25 | |
Midlands
| Professional | $295.12 | $295.12 | $316.23 | |
Midlands
| Professional | $316.23 | $331.13 | $354.81 |