| 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 | |
Medica
| Facility | $540.45 | $674.91 | $1,056.15 | |
Medica
| Professional | $674.91 | $706.52 | $982.29 | |
Midlands
| Facility | $552.85 | $706.52 | $1,068.08 | |
Midlands
| Professional | $552.85 | $706.52 | $982.29 |