| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,732.04 | $2,267.77 | $2,730.45 | |
Oscar Health
| Facility | $568.40 | $568.40 | $568.40 | |
Oscar Health
| Professional | $4.00 | $759.00 | $1,458.30 | |
Priority Health
| Professional | $1,732.04 | $2,267.77 | $2,730.45 |