| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $23.48 | $23.48 | $29.34 | |
Medica
| Facility | $20.82 | $20.82 | $90.00 | |
Medica
| Professional | $5.62 | $23.46 | $73.23 | |
Midlands
| Facility | $20.82 | $20.82 | $23.46 | |
Midlands
| Professional | $20.82 | $23.46 | $61.23 | |
Oscar Health
| Facility | $520.34 | $520.34 | $520.34 |