| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $513.00 | $518.13 | $641.25 | |
Medica
| Facility | $604.20 | $604.20 | $604.20 | |
Midlands
| Facility | $0.90 | $604.20 | $714.70 | |
Midlands
| Professional | $604.20 | $673.17 | $830.78 |