| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $92.30 | $122.39 | $193.06 | |
Medcost
| Facility | $52.44 | $79.76 | $113.93 | |
Oscar Health
| Professional | $164.70 | $164.70 | $164.70 | |
Wellcare
| Facility | $70.00 | $112.98 | $658.49 | |
Wellcare
| Professional | $301.00 | $301.00 | $371.24 |