| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $64.02 | $76.70 | $128.38 | |
Medcost
| Facility | $53.25 | $70.58 | $134.66 | |
Oscar Health
| Professional | $46.80 | $64.40 | $114.40 | |
Wellcare
| Facility | $91.30 | $243.60 | $243.60 | |
Wellcare
| Professional | $240.00 | $240.00 | $240.00 |