| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $380.19 | $380.19 | $478.63 | |
Medica
| Facility | $398.11 | $549.54 | $2,041.74 | |
Medica
| Professional | $354.81 | $1,000.00 | $5,754.40 | |
Midlands
| Professional | $354.81 | $354.81 | $354.81 |