| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $147.62 | $232.71 | $1,224.83 | |
Oscar Health
| Facility | $282.60 | $282.60 | $282.60 | |
Oscar Health
| Professional | $282.60 | $304.80 | $623.60 | |
Priority Health
| Professional | $147.62 | $232.71 | $1,224.83 |