| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $288.58 | $305.01 | $365.44 | |
Oscar Health
| Professional | $75.00 | $111.70 | $169.60 | |
Wellcare
| Facility | $55.00 | $3,181.37 | $3,181.37 | |
Wellcare
| Professional | $458.64 | $1,793.57 | $1,793.57 |