| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,020.20 | $1,335.75 | $1,608.28 | |
Oscar Health
| Facility | $367.40 | $367.40 | $367.40 | |
Oscar Health
| Professional | $5.00 | $383.40 | $703.80 | |
Priority Health
| Professional | $1,020.20 | $1,335.75 | $1,608.28 |