| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $197.56 | $236.70 | $450.53 | |
Oscar Health
| Professional | $269.70 | $321.30 | $324.20 | |
Wellcare
| Facility | $90.00 | $90.00 | $90.00 | |
Wellcare
| Professional | $718.42 | $1,480.40 | $1,480.40 |