| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $150.50 | $150.50 | $150.50 | |
Cigna
| Professional | $150.53 | $150.53 | $188.16 | |
Medica
| Facility | $823.03 | $823.03 | $823.03 | |
Midlands
| Facility | $181.35 | $186.46 | $304.83 | |
Midlands
| Professional | $181.35 | $225.62 | $304.83 | |
United
| Facility | $140.41 | $140.41 | $140.41 |