| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $208.93 | $251.19 | $416.87 | |
Oscar Health
| Professional | $85.11 | $257.04 | $295.12 |
Radj Dlvr 1 Area 1/Prll Opsd Ports Smpl 20Mev/<
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $208.93 | $251.19 | $416.87 | |
Oscar Health
| Professional | $85.11 | $257.04 | $295.12 |