| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $8.51 | $8.60 | $10.64 | |
Medica
| Facility | $24.53 | $110.20 | $110.20 | |
Medica
| Professional | $37.27 | $95.22 | $95.22 | |
Midlands
| Facility | $24.53 | $24.53 | $29.00 | |
Midlands
| Professional | $24.53 | $37.27 | $57.90 | |
Oscar Health
| Professional | $23.90 | $27.40 | $37.70 |