| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $34.47 | $36.17 | $43.34 | |
Oscar Health
| Facility | $30.10 | $30.10 | $30.10 | |
Oscar Health
| Professional | $30.10 | $30.10 | $40.70 | |
Priority Health
| Professional | $34.47 | $36.17 | $43.34 |