| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $25.01 | $25.01 | $31.27 | |
Medica
| Facility | $33.75 | $33.75 | $90.00 | |
Medica
| Professional | $33.75 | $65.25 | $73.56 | |
Midlands
| Facility | $33.75 | $33.75 | $50.52 | |
Midlands
| Professional | $33.75 | $33.75 | $65.25 | |
Oscar Health
| Facility | $23.49 | $134.16 | $231.72 |