| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $73.15 | $124.30 | $207.13 | |
Oscar Health
| Facility | $37.70 | $37.70 | $37.70 | |
Oscar Health
| Professional | $37.70 | $51.80 | $96.10 | |
Priority Health
| Professional | $73.15 | $124.30 | $207.13 |