| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $158.49 | $158.49 | $199.53 | |
Medica
| Facility | $134.90 | $134.90 | $346.74 | |
Medica
| Professional | $114.82 | $186.21 | $457.09 | |
Midlands
| Professional | $186.21 | $186.21 | $186.21 | |
Oscar Health
| Professional | $144.54 | $169.82 | $223.87 |