| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $3,933.18 | $5,149.72 | $6,200.40 | |
Oscar Health
| Facility | $1,338.30 | $1,338.30 | $1,338.30 | |
Oscar Health
| Professional | $7.00 | $1,514.30 | $3,313.60 | |
Priority Health
| Professional | $3,933.18 | $5,149.72 | $6,200.40 |