| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $120.67 | $161.71 | $273.36 | |
Medica
| Facility | $37.00 | $108.53 | $260.33 | |
Medica
| Professional | $44.50 | $411.91 | $565.95 | |
Midlands
| Facility | $32.26 | $73.95 | $171.80 | |
Midlands
| Professional | $35.00 | $44.26 | $171.80 | |
Oscar Health
| Professional | $65.73 | $118.45 | $168.93 |