| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $819.26 | $819.26 | $1,024.08 | |
Hally Health
| Professional | $150.00 | $150.00 | $150.00 | |
Medica
| Facility | $541.09 | $586.17 | $1,803.64 | |
Medica
| Professional | $541.09 | $982.61 | $2,254.55 | |
Midlands
| Facility | $541.09 | $684.65 | $988.21 | |
Midlands
| Professional | $541.09 | $824.60 | $1,176.88 | |
Oscar Health
| Professional | $450.91 | $450.91 | $804.87 |