| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $157.19 | $215.08 | $272.36 | |
Oscar Health
| Facility | $58.80 | $58.80 | $58.80 | |
Oscar Health
| Professional | $58.80 | $65.30 | $133.80 | |
Priority Health
| Professional | $157.19 | $215.08 | $272.36 |