| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $197.56 | $236.70 | $450.53 | |
Oscar Health
| Facility | $269.70 | $269.70 | $269.70 | |
Oscar Health
| Professional | $269.70 | $269.70 | $372.00 | |
Priority Health
| Professional | $197.56 | $236.70 | $450.53 |