| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $364.58 | $364.58 | $455.72 | |
Medica
| Facility | $346.68 | $621.19 | $1,462.76 | |
Medica
| Professional | $818.00 | $2,521.23 | $2,521.23 | |
Midlands
| Facility | $195.11 | $321.55 | $495.00 | |
Midlands
| Professional | $202.43 | $365.86 | $975.00 |