| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $122.90 | $133.50 | $153.62 | |
Medica
| Facility | $101.00 | $101.00 | $101.00 | |
Medica
| Professional | $86.00 | $146.47 | $500.00 | |
Midlands
| Facility | $86.94 | $109.19 | $139.58 | |
Midlands
| Professional | $86.00 | $109.19 | $146.47 | |
Oscar Health
| Professional | $75.20 | $124.50 | $176.60 |