| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,258.93 | $1,258.93 | $1,548.82 | |
Medica
| Facility | $707.95 | $1,412.54 | $11,748.98 | |
Medica
| Professional | $1,071.52 | $2,884.03 | $2,884.03 | |
Oscar Health
| Professional | $6.03 | $851.14 | $1,548.82 |