| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $283.20 | $408.53 | $2,439.88 | |
Oscar Health
| Facility | $383.40 | $383.40 | $383.40 | |
Oscar Health
| Professional | $4.00 | $401.20 | $1,101.00 | |
Priority Health
| Professional | $283.20 | $408.53 | $2,439.88 |