| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $12,105.71 | $15,850.03 | $19,083.87 | |
Oscar Health
| Facility | $5,223.60 | $5,223.60 | $5,223.60 | |
Oscar Health
| Professional | $30.00 | $5,471.80 | $8,422.20 | |
Priority Health
| Professional | $12,105.71 | $15,850.03 | $19,083.87 |