| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $86.75 | $131.47 | $606.79 | |
Medica
| Facility | $106.20 | $300.06 | $557.13 | |
Medica
| Professional | $314.00 | $591.10 | $1,209.40 | |
Midlands
| Facility | $314.00 | $314.00 | $314.00 | |
Midlands
| Professional | $96.27 | $367.47 | $520.09 | |
Oscar Health
| Professional | $304.80 | $517.50 | $755.30 |