| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $57.57 | $59.59 | $71.70 | |
CareSource
| Facility | $120.00 | $120.00 | $260.00 | |
Cigna
| Professional | $93.52 | $112.05 | $298.20 | |
Oscar Health
| Professional | $103.80 | $118.00 | $193.90 |