| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $125.89 | $125.89 | $154.88 | |
Medica
| Facility | $100.00 | $100.00 | $338.84 | |
Medica
| Professional | $85.11 | $147.91 | $501.19 | |
Midlands
| Professional | $147.91 | $147.91 | $147.91 | |
Oscar Health
| Professional | $104.71 | $141.25 | $177.83 |