| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $870.96 | $870.96 | $1,071.52 | |
Medica
| Facility | $1,819.70 | $1,819.70 | $1,819.70 | |
Medica
| Professional | $537.03 | $2,238.72 | $2,238.72 | |
Midlands
| Professional | $537.03 | $691.83 | $977.24 | |
Midlands
| Professional | $977.24 | $1,122.02 | $1,122.02 | |
Oscar Health
| Professional | $446.68 | $776.25 | $912.01 | |
United
| Facility | $446.68 | $446.68 | $446.68 | |
United
| Professional | $269.15 | $269.15 | $295.12 |