| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $148.40 | $344.39 | $427.30 | |
Medica
| Facility | $201.68 | $201.68 | $372.36 | |
Medica
| Professional | $190.01 | $523.28 | $523.28 | |
Midlands
| Facility | $116.71 | $143.00 | $146.59 | |
Midlands
| Professional | $136.00 | $155.16 | $199.24 | |
Oscar Health
| Professional | $121.30 | $174.60 | $247.50 |