| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $64.02 | $76.70 | $128.38 | |
Medcost
| Professional | $22.00 | $24.00 | $46.00 | |
Oscar Health
| Professional | $36.79 | $61.10 | $96.30 | |
Wellcare
| Facility | $121.00 | $359.91 | $359.91 | |
Wellcare
| Professional | $331.34 | $331.34 | $331.34 |