| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $308.47 | $330.67 | $385.59 | |
Medica
| Professional | $659.40 | $659.40 | $659.40 | |
Midlands
| Professional | $243.47 | $243.47 | $311.97 | |
Oscar Health
| Professional | $137.00 | $137.00 | $137.00 |