| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $436.82 | $650.91 | $876.04 | |
Oscar Health
| Facility | $383.60 | $383.60 | $383.60 | |
Oscar Health
| Professional | $383.60 | $383.60 | $513.00 | |
Priority Health
| Professional | $436.82 | $650.91 | $876.04 |