| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $152.94 | $220.64 | $2,309.40 | |
Oscar Health
| Facility | $105.20 | $105.20 | $105.20 | |
Oscar Health
| Professional | $4.00 | $111.10 | $1,151.20 | |
Priority Health
| Professional | $152.94 | $220.64 | $2,309.40 |