| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $602.25 | $868.78 | $1,544.49 | |
Oscar Health
| Facility | $269.70 | $269.70 | $269.70 | |
Oscar Health
| Professional | $5.00 | $284.60 | $757.10 | |
Priority Health
| Professional | $602.25 | $868.78 | $1,544.49 |