| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $2,803.63 | $3,670.80 | $4,419.75 | |
Oscar Health
| Facility | $868.40 | $868.40 | $868.40 | |
Oscar Health
| Professional | $7.00 | $1,131.59 | $2,360.00 | |
Priority Health
| Professional | $2,803.63 | $3,670.80 | $4,419.75 |