| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $153.83 | $153.83 | $184.31 | |
Oscar Health
| Professional | $104.90 | $165.30 | $296.30 | |
Wellcare
| Facility | $297.75 | $450.84 | $450.84 | |
Wellcare
| Professional | $490.93 | $608.92 | $608.92 |