| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $257.04 | $2,398.83 | $2,398.83 | |
Medica
| Professional | $478.63 | $478.63 | $478.63 | |
Midlands
| Professional | $177.83 | $177.83 | $190.55 | |
Oscar Health
| Professional | $288.40 | $288.40 | $363.08 |