| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $413.80 | $413.80 | $495.78 | |
Oscar Health
| Facility | $237.20 | $237.20 | $237.20 | |
Oscar Health
| Professional | $5.00 | $237.20 | $261.50 | |
Priority Health
| Professional | $413.80 | $413.80 | $495.78 |