| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $138.04 | $338.84 | $416.87 | |
Medica
| Facility | $1,288.25 | $1,288.25 | $1,288.25 | |
Medica
| Professional | $208.93 | $616.60 | $616.60 | |
Oscar Health
| Professional | $5.01 | $112.20 | $371.54 |