| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $516.11 | $675.75 | $813.62 | |
Oscar Health
| Facility | $181.60 | $181.60 | $181.60 | |
Oscar Health
| Professional | $5.00 | $189.80 | $357.70 | |
Priority Health
| Professional | $516.11 | $675.75 | $813.62 |