| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $305.08 | $365.53 | $440.24 | |
Oscar Health
| Professional | $97.80 | $102.10 | $178.00 | |
Wellcare
| Facility | $205.62 | $205.62 | $346.11 | |
Wellcare
| Professional | $683.00 | $683.00 | $683.00 |