| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $156.21 | $213.72 | $270.63 | |
Oscar Health
| Facility | $136.90 | $136.90 | $136.90 | |
Oscar Health
| Professional | $103.90 | $136.90 | $159.60 | |
Priority Health
| Professional | $156.21 | $213.72 | $270.63 |