| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $124.23 | $124.23 | $136.53 | |
Emblem Health
| Professional | $142.18 | $189.52 | $345.73 | |
Oscar Health
| Professional | $109.70 | $109.70 | $205.70 | |
Priority Health
| Professional | $124.23 | $130.38 | $156.21 |