| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $72.22 | $146.75 | $274.00 | |
Medica
| Facility | $106.38 | $139.38 | $176.40 | |
Medica
| Professional | $220.70 | $350.87 | $350.87 | |
Medica
| Professional | 25 | $111.38 | $111.38 | $111.38 |
Midlands
| Facility | $20.00 | $106.38 | $132.19 | |
Midlands
| Professional | $19.00 | $24.81 | $132.19 | |
Oscar Health
| Professional | $36.70 | $66.63 | $108.23 |