| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $149.86 | $149.86 | $179.55 | |
Oscar Health
| Professional | $85.80 | $171.90 | $284.39 | |
Wellcare
| Facility | $155.07 | $423.00 | $423.00 | |
Wellcare
| Professional | $470.80 | $583.46 | $583.46 |