| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,230.27 | $1,230.27 | $1,513.56 | |
Medica
| Facility | $1,174.90 | $2,951.21 | $2,951.21 | |
Medica
| Professional | $1,548.82 | $4,365.16 | $4,365.16 | |
Midlands
| Professional | $1,318.26 | $1,318.26 | $1,778.28 |