| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $192.59 | $230.74 | $386.23 | |
Medcost
| Professional | $44.00 | $103.00 | $147.00 | |
Oscar Health
| Professional | $112.00 | $153.30 | $260.80 | |
Wellcare
| Facility | $284.72 | $535.10 | $535.10 | |
Wellcare
| Professional | $536.54 | $549.27 | $549.27 |