| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $101.55 | $167.15 | $274.00 | |
Oscar Health
| Facility | $50.20 | $50.20 | $50.20 | |
Oscar Health
| Professional | $26.20 | $52.23 | $114.60 | |
Priority Health
| Professional | $101.55 | $167.15 | $274.00 | |
UPMC Health Plan
| Facility | $28.40 | $54.04 | $54.04 | |
UPMC Health Plan
| Professional | $33.25 | $48.86 | $57.39 |