| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,230.27 | $1,230.27 | $1,513.56 | |
Medica
| Facility | $954.99 | $2,754.23 | $2,754.23 | |
Medica
| Professional | $1,479.11 | $3,801.89 | $3,801.89 | |
Midlands
| Professional | $1,318.26 | $1,318.26 | $1,348.96 |