| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $811.35 | $1,062.30 | $1,279.04 | |
Oscar Health
| Facility | $281.60 | $281.60 | $281.60 | |
Oscar Health
| Professional | $5.00 | $281.60 | $592.29 | |
Priority Health
| Professional | $811.35 | $1,062.30 | $1,279.04 |