| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $198.95 | $404.29 | $618.12 | |
Medica
| Facility | $243.10 | $385.50 | $403.10 | |
Medica
| Professional | $607.94 | $801.06 | $801.06 | |
Midlands
| Facility | $56.00 | $243.10 | $302.11 | |
Midlands
| Professional | $54.27 | $74.00 | $302.11 | |
Oscar Health
| Professional | $102.03 | $184.95 | $247.75 |