| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Capital Blue Cross
| Facility | $5,000.00 | $8,639.91 | $79,506.39 | |
Capital Blue Cross
| Professional | $26.17 | $27.16 | $27.16 | |
Cigna
| Professional | $38.54 | $38.54 | $38.54 | |
Oscar Health
| Professional | $26.90 | $30.60 | $31.70 | |
Priority Health
| Professional | $38.54 | $38.54 | $38.54 | |
United
| Professional | $91.00 | $131.00 | $242.00 |