| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $39.75 | $42.14 | $49.69 | |
Medica
| Facility | $65.34 | $65.34 | $100.00 | |
Medica
| Professional | $65.34 | $134.78 | $340.67 | |
Midlands
| Facility | $65.34 | $65.34 | $66.76 | |
Midlands
| Professional | $65.34 | $80.72 | $134.78 | |
Oscar Health
| Professional | $63.50 | $74.59 | $133.13 |