| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $69.84 | $69.84 | $87.31 | |
Medica
| Facility | $90.00 | $90.00 | $90.00 | |
Medica
| Professional | $122.82 | $122.82 | $122.82 | |
Midlands
| Facility | $61.41 | $72.29 | $89.83 | |
Midlands
| Professional | $61.41 | $72.29 | $89.83 | |
Oscar Health
| Professional | $41.06 | $41.06 | $71.58 |