| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $354.81 | $446.68 | $724.44 | |
Medica
| Facility | $194.98 | $223.87 | $467.74 | |
Medica
| Professional | $288.40 | $1,862.09 | $1,862.09 | |
Oscar Health
| Professional | $5.01 | $154.88 | $354.81 |