| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $23.90 | $28.63 | $34.47 | |
Medcost
| Professional | $9.00 | $9.00 | $11.00 | |
Oscar Health
| Professional | $30.30 | $30.30 | $43.20 | |
Wellcare
| Facility | $74.72 | $90.00 | $145.00 | |
Wellcare
| Professional | $248.00 | $248.00 | $248.00 |