| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $493.02 | $623.41 | $779.28 | |
Medica
| Facility | $5,957.12 | $5,957.12 | $5,957.12 | |
Medica
| Professional | $897.90 | $897.90 | $897.90 | |
Midlands
| Professional | $432.72 | $540.90 | $897.90 |