| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $113.72 | $148.88 | $179.27 | |
Oscar Health
| Facility | $566.79 | $566.79 | $566.79 | |
Oscar Health
| Professional | $4.00 | $506.20 | $611.20 | |
Priority Health
| Professional | $113.72 | $148.88 | $179.27 |