| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $53.80 | $99.50 | $109.35 | |
Oscar Health
| Professional | $43.30 | $43.30 | $52.00 | |
Priority Health
| Professional | $53.80 | $90.05 | $109.35 |
Ffs - Not Available
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $53.80 | $99.50 | $109.35 | |
Oscar Health
| Professional | $43.30 | $43.30 | $52.00 | |
Priority Health
| Professional | $53.80 | $90.05 | $109.35 |