| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $57.98 | $57.98 | $72.47 | |
Medica
| Facility | $10,216.79 | $17,226.00 | $17,226.00 | |
Midlands
| Facility | $14,148.36 | $14,148.36 | $14,148.36 | |
Midlands
| Professional | $14,148.36 | $14,148.36 | $14,148.36 |