| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $819.26 | $819.26 | $1,024.08 | |
Medica
| Facility | $1,803.64 | $1,803.64 | $1,803.64 | |
Medica
| Professional | $541.09 | $2,254.55 | $2,254.55 | |
Midlands
| Facility | $541.09 | $824.60 | $1,009.10 | |
Midlands
| Professional | $541.09 | $982.61 | $1,154.33 | |
Oscar Health
| Professional | $527.55 | $527.55 | $919.86 |