| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $2,788.33 | $3,650.76 | $4,395.62 | |
Oscar Health
| Facility | $705.20 | $705.20 | $705.20 | |
Oscar Health
| Professional | $5.00 | $737.40 | $1,898.80 | |
Priority Health
| Professional | $2,788.33 | $3,650.76 | $4,395.62 |