| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $228.38 | $228.38 | $285.47 | |
Medica
| Facility | $1,152.40 | $1,152.40 | $1,152.40 | |
Medica
| Professional | $256.00 | $256.00 | $256.00 | |
Midlands
| Facility | $268.99 | $323.66 | $473.95 | |
Midlands
| Professional | $247.36 | $276.58 | $587.72 |