| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $3,981.07 | $3,981.07 | $5,011.87 | |
Medica
| Facility | $6,456.54 | $6,456.54 | $6,456.54 | |
Medica
| Professional | $3,019.95 | $13,489.63 | $13,489.63 | |
Oscar Health
| Professional | $10.96 | $2,884.03 | $3,715.35 |