| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $259.02 | $259.02 | $323.79 | |
Medica
| Facility | $74.61 | $184.06 | $398.76 | |
Medica
| Professional | $171.16 | $293.82 | $710.30 | |
Midlands
| Facility | $171.16 | $199.68 | $312.58 | |
Midlands
| Professional | $171.16 | $236.71 | $372.47 | |
Oscar Health
| Facility | $989.78 | $3,745.00 | $6,468.61 | |
Oscar Health
| Professional | $142.63 | $142.63 | $254.59 |