| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $23.22 | $27.92 | $34.90 | |
Medica
| Facility | $80.00 | $80.00 | $100.00 | |
Medica
| Professional | $78.41 | $89.23 | $89.23 | |
Midlands
| Facility | $17.39 | $18.09 | $23.07 | |
Midlands
| Professional | $17.39 | $21.89 | $38.26 | |
Oscar Health
| Professional | $13.90 | $15.33 | $26.72 |