| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $616.60 | $776.25 | $1,258.93 | |
Medica
| Facility | $9,549.93 | $9,549.93 | $9,549.93 | |
Medica
| Professional | $489.78 | $3,630.78 | $3,630.78 | |
Oscar Health
| Professional | $7.08 | $549.54 | $645.65 |