| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $325.43 | $389.90 | $469.59 | |
Oscar Health
| Professional | $73.80 | $77.09 | $191.80 | |
Wellcare
| Facility | $222.62 | $222.62 | $600.00 | |
Wellcare
| Professional | $500.00 | $500.00 | $500.00 |