| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $199.53 | $199.53 | $1,122.02 | |
Medica
| Facility | $251.19 | $251.19 | $251.19 | |
Medica
| Professional | $169.82 | $2,041.74 | $2,041.74 | |
Oscar Health
| Professional | $3.98 | $275.42 | $1,071.52 |