| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $36.17 | $36.17 | $43.34 | |
Oscar Health
| Professional | $30.10 | $37.20 | $43.70 | |
Wellcare
| Facility | $80.00 | $90.00 | $90.00 | |
Wellcare
| Professional | $97.66 | $97.66 | $97.66 |