| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $574.60 | $635.91 | $761.91 | |
Oscar Health
| Professional | $137.00 | $137.00 | $137.00 | |
Wellcare
| Facility | $200.95 | $311.00 | $337.24 | |
Wellcare
| Professional | $659.40 | $659.40 | $659.40 |