| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $284.62 | $284.62 | $355.78 | |
Medica
| Facility | $150.62 | $200.11 | $570.52 | |
Medica
| Professional | $641.84 | $641.84 | $641.84 | |
Midlands
| Facility | $249.60 | $293.82 | $365.13 | |
Midlands
| Professional | $249.60 | $293.82 | $365.13 | |
Oscar Health
| Professional | $166.88 | $166.88 | $290.97 |