| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $285.64 | $342.24 | $572.88 | |
Medcost
| Professional | $42.00 | $172.00 | $214.00 | |
Oscar Health
| Professional | $120.60 | $283.70 | $450.50 | |
Wellcare
| Facility | $326.47 | $766.02 | $766.02 | |
Wellcare
| Professional | $1,050.23 | $1,170.03 | $1,170.03 |