| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $3,099.96 | $4,058.79 | $4,886.89 | |
Oscar Health
| Facility | $1,059.40 | $1,059.40 | $1,059.40 | |
Oscar Health
| Professional | $7.00 | $1,259.90 | $2,611.90 | |
Priority Health
| Professional | $3,099.96 | $4,058.79 | $4,886.89 |