| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $450.00 | $450.00 | $450.00 | |
Cigna
| Professional | $450.00 | $450.00 | $562.50 | |
Midlands
| Facility | $552.85 | $552.85 | $798.24 | |
Midlands
| Professional | $540.45 | $674.91 | $981.96 |