| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,177.01 | $1,697.91 | $6,434.03 | |
Oscar Health
| Facility | $453.30 | $453.30 | $453.30 | |
Oscar Health
| Professional | $4.00 | $476.00 | $3,054.70 | |
Priority Health
| Professional | $1,177.01 | $1,697.91 | $6,434.03 |