| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $437.35 | $651.72 | $877.12 | |
Oscar Health
| Facility | $350.50 | $350.50 | $350.50 | |
Oscar Health
| Professional | $350.50 | $350.50 | $468.30 | |
Priority Health
| Professional | $437.35 | $651.72 | $877.12 |