| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $210.25 | $210.25 | $244.10 | |
Medica
| Professional | $467.11 | $467.11 | $467.11 | |
Midlands
| Facility | $138.28 | $138.28 | $153.74 | |
Midlands
| Professional | $123.62 | $138.28 | $180.13 | |
Oscar Health
| Professional | $202.80 | $202.80 | $202.80 |