| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $350.50 | $350.50 | $350.50 | |
Cigna
| Professional | $350.51 | $350.51 | $438.14 | |
Medica
| Facility | $1,918.67 | $1,918.67 | $1,918.67 | |
Midlands
| Facility | $421.55 | $433.73 | $625.13 | |
Midlands
| Professional | $421.55 | $552.95 | $766.11 |