| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $237.79 | $344.39 | $427.30 | |
Oscar Health
| Facility | $119.20 | $119.20 | $119.20 | |
Oscar Health
| Professional | $119.20 | $148.50 | $227.50 | |
Priority Health
| Professional | $237.79 | $344.39 | $427.30 |