| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $62.94 | $75.41 | $126.23 | |
Medcost
| Facility | $54.48 | $71.51 | $154.01 | |
Medcost
| Professional | $20.00 | $32.00 | $52.00 | |
Oscar Health
| Professional | $43.50 | $61.20 | $99.50 | |
Wellcare
| Facility | $93.01 | $268.57 | $268.57 | |
Wellcare
| Professional | $264.00 | $264.00 | $264.00 |