| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,872.23 | $1,872.23 | $2,340.29 | |
Medica
| Facility | $1,163.50 | $1,163.50 | $1,163.50 | |
Medica
| Professional | $2,697.50 | $2,697.50 | $2,697.50 | |
Midlands
| Professional | $1,300.00 | $1,625.00 | $2,697.50 |