| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $159.22 | $190.78 | $319.33 | |
Medcost
| Professional | $44.00 | $120.00 | $164.00 | |
Oscar Health
| Professional | $105.50 | $210.40 | $335.60 | |
Wellcare
| Facility | $275.82 | $621.92 | $621.92 | |
Wellcare
| Professional | $781.72 | $875.23 | $875.23 |