| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $216.26 | $259.10 | $433.70 | |
Medcost
| Professional | $46.00 | $46.00 | $46.00 | |
Oscar Health
| Professional | $168.70 | $180.50 | $225.60 | |
Wellcare
| Facility | $313.74 | $477.72 | $477.72 | |
Wellcare
| Professional | $625.42 | $684.55 | $684.55 |