| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $293.05 | $383.69 | $461.97 | |
Oscar Health
| Facility | $131.10 | $131.10 | $131.10 | |
Oscar Health
| Professional | $4.00 | $137.00 | $191.70 | |
Priority Health
| Professional | $293.05 | $383.69 | $461.97 |