| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $2,441.26 | $2,939.34 | $4,780.82 | |
Medcost
| Professional | $944.00 | $944.00 | $964.00 | |
Oscar Health
| Professional | $806.00 | $913.40 | $1,510.90 | |
Wellcare
| Facility | $1,749.51 | $2,800.00 | $13,851.75 | |
Wellcare
| Professional | $3,701.47 | $3,783.07 | $3,783.07 |