| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $891.42 | $1,285.93 | $2,265.37 | |
Oscar Health
| Facility | $498.80 | $498.80 | $498.80 | |
Oscar Health
| Professional | $5.00 | $528.90 | $1,114.50 | |
Priority Health
| Professional | $891.42 | $1,285.93 | $2,265.37 |