| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,619.42 | $2,120.30 | $2,552.90 | |
Oscar Health
| Facility | $570.60 | $570.60 | $570.60 | |
Oscar Health
| Professional | $4.00 | $594.79 | $1,103.40 | |
Priority Health
| Professional | $1,619.42 | $2,120.30 | $2,552.90 |