| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $145.41 | $181.76 | $325.33 | |
Medica
| Facility | $143.00 | $201.68 | $372.36 | |
Medica
| Professional | $146.59 | $406.95 | $523.28 | |
Midlands
| Facility | $116.71 | $143.00 | $155.16 | |
Midlands
| Professional | $120.47 | $146.59 | $196.69 | |
Oscar Health
| Professional | $121.30 | $167.30 | $247.50 |