| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $645.65 | $794.33 | $1,000.00 | |
Medica
| Facility | $457.09 | $549.54 | $3,162.28 | |
Medica
| Professional | $338.84 | $457.09 | $776.25 | |
Midlands
| Professional | $776.25 | $776.25 | $776.25 | |
United
| Professional | $380.19 | $457.09 | $724.44 |