| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $241.68 | $289.56 | $348.74 | |
Oscar Health
| Professional | $72.20 | $75.20 | $141.60 | |
Wellcare
| Facility | $161.29 | $161.29 | $341.79 | |
Wellcare
| Professional | $500.00 | $500.00 | $500.00 |