| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $268.97 | $311.83 | $389.79 | |
Hally Health
| Professional | $150.00 | $150.00 | $150.00 | |
Medica
| Facility | $260.00 | $477.72 | $477.72 | |
Medica
| Professional | $202.00 | $276.07 | $684.55 | |
Midlands
| Facility | $166.10 | $260.00 | $273.73 | |
Midlands
| Professional | $166.10 | $260.00 | $279.56 | |
Oscar Health
| Professional | $218.60 | $218.60 | $218.60 |