| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $6,509.35 | $6,509.35 | $6,509.35 | |
Medica
| Professional | $565.15 | $565.15 | $565.15 | |
Midlands
| Professional | $194.27 | $206.91 | $319.41 | |
Oscar Health
| Professional | $168.10 | $168.10 | $168.10 |