| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $864.00 | $864.00 | $1,080.00 | |
Medica
| Facility | $960.00 | $1,144.80 | $2,400.00 | |
Midlands
| Facility | $1,144.80 | $1,144.80 | $2,170.88 | |
Midlands
| Professional | $1,144.80 | $1,144.80 | $2,170.88 |