| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $25.25 | $26.26 | $31.31 | |
CareSource
| Facility | $120.00 | $120.00 | $260.00 | |
Cigna
| Professional | $103.59 | $107.91 | $129.28 | |
Oscar Health
| Professional | $103.80 | $118.00 | $156.19 |