| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $443.87 | $531.80 | $640.51 | |
Oscar Health
| Professional | $122.10 | $127.40 | $260.10 | |
Wellcare
| Facility | $302.61 | $302.61 | $472.22 | |
Wellcare
| Professional | $626.71 | $626.71 | $626.71 |