| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $77.62 | $89.13 | $630.96 | |
Medica
| Professional | $77.62 | $257.04 | $257.04 | |
Midlands
| Professional | $77.62 | $77.62 | $77.62 | |
Midlands
| Professional | $63.10 | $144.54 | $144.54 | |
Oscar Health
| Professional | $54.95 | $95.50 | $117.49 | |
United
| Professional | $25.12 | $35.48 | $56.23 |