| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $75.62 | $103.46 | $131.01 | |
Oscar Health
| Facility | $31.00 | $31.00 | $31.00 | |
Oscar Health
| Professional | $20.50 | $33.20 | $59.80 | |
Priority Health
| Professional | $75.62 | $103.46 | $131.01 |