| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $4,073.80 | $4,073.80 | $5,128.61 | |
Medica
| Facility | $6,606.93 | $6,606.93 | $6,606.93 | |
Medica
| Professional | $3,388.44 | $12,022.64 | $12,022.64 | |
Oscar Health
| Professional | $10.96 | $3,235.94 | $4,168.69 |