| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $104.90 | $125.68 | $210.38 | |
Medcost
| Facility | $38.22 | $74.06 | $120.96 | |
Oscar Health
| Professional | $32.90 | $76.30 | $151.69 | |
Wellcare
| Facility | $140.09 | $332.35 | $332.35 | |
Wellcare
| Professional | $272.41 | $272.41 | $272.41 |