| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $2,041.74 | $2,041.74 | $2,570.40 | |
Medica
| Facility | $141.25 | $1,258.93 | $3,162.28 | |
Medica
| Professional | $1,000.00 | $7,585.78 | $7,585.78 | |
Oscar Health
| Professional | $1,174.90 | $1,174.90 | $1,621.81 |