| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,033.32 | $1,352.93 | $1,628.96 | |
Oscar Health
| Facility | $297.30 | $297.30 | $297.30 | |
Oscar Health
| Professional | $4.00 | $422.90 | $870.90 | |
Priority Health
| Professional | $1,033.32 | $1,352.93 | $1,628.96 |