| 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 | $3,012.52 | $3,012.52 | $3,012.52 | |
Midlands
| Facility | $661.75 | $681.40 | $982.09 | |
Midlands
| Professional | $661.75 | $869.00 | $1,203.98 |