| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $19.89 | $27.23 | $34.47 | |
Oscar Health
| Facility | $40.50 | $40.50 | $40.50 | |
Oscar Health
| Professional | $14.20 | $35.40 | $43.20 | |
Priority Health
| Professional | $19.89 | $27.23 | $34.47 |