| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $550.50 | $550.50 | $550.50 | |
Cigna
| Professional | $550.50 | $550.50 | $688.13 | |
Medica
| Facility | $661.75 | $825.81 | $1,292.13 | |
Medica
| Professional | $825.81 | $869.00 | $1,203.98 | |
Midlands
| Facility | $676.50 | $869.00 | $1,306.85 | |
Midlands
| Professional | $676.50 | $869.00 | $1,203.98 |