| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $249.38 | $249.38 | $311.72 | |
Medica
| Facility | $950.93 | $950.93 | $950.93 | |
Medica
| Professional | $1,471.51 | $1,471.51 | $1,471.51 | |
Midlands
| Facility | $247.29 | $269.04 | $510.18 | |
Midlands
| Professional | $243.00 | $297.99 | $510.18 |