| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $2,041.74 | $2,570.40 | $4,168.69 | |
Medica
| Facility | $18,197.01 | $18,197.01 | $18,197.01 | |
Medica
| Professional | $1,380.38 | $6,606.93 | $6,606.93 | |
Oscar Health
| Professional | $5.01 | $1,023.29 | $2,089.30 |