| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $781.82 | $1,023.64 | $1,232.50 | |
Oscar Health
| Facility | $325.89 | $325.89 | $325.89 | |
Oscar Health
| Professional | $325.89 | $433.70 | $657.60 | |
Priority Health
| Professional | $781.82 | $1,023.64 | $1,232.50 | |
United
| Professional | $206.77 | $252.16 | $471.46 |