| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $183.66 | $183.66 | $195.29 | |
Medica
| Professional | $373.70 | $373.70 | $373.70 | |
Midlands
| Facility | $47.48 | $47.48 | $52.70 | |
Midlands
| Professional | $42.44 | $47.48 | $61.76 | |
Oscar Health
| Professional | $177.10 | $177.10 | $177.10 |