| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $604.67 | $791.71 | $953.25 | |
Oscar Health
| Facility | $221.20 | $221.20 | $221.20 | |
Oscar Health
| Professional | $5.00 | $230.30 | $418.70 | |
Priority Health
| Professional | $604.67 | $791.71 | $953.25 |