| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $3,801.89 | $3,801.89 | $4,786.30 | |
Medica
| Facility | $6,760.83 | $6,760.83 | $6,760.83 | |
Medica
| Professional | $3,467.37 | $12,882.50 | $12,882.50 | |
Oscar Health
| Professional | $2,187.76 | $3,311.31 | $4,073.80 |