| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $22.99 | $22.99 | $28.74 | |
Oscar Health
| Facility | $1,368.22 | $1,663.61 | $2,164.00 |
Hosp Outpt Clinic Spec Collect
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $22.99 | $22.99 | $28.74 | |
Oscar Health
| Facility | $1,368.22 | $1,663.61 | $2,164.00 |