| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $678.78 | $678.78 | $678.78 | |
Cigna
| Facility | $536.83 | $536.83 | $536.83 | |
Cigna
| Professional | $536.83 | $536.83 | $536.83 | |
Medica
| Facility | $678.78 | $699.14 | $1,187.86 | |
Medica
| Professional | $535.01 | $535.01 | $535.01 | |
Midlands
| Professional | $198.66 | $198.66 | $228.19 |