| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $184.84 | $184.84 | $221.46 | |
Oscar Health
| Professional | $182.30 | $191.40 | $213.20 | |
Wellcare
| Facility | $301.60 | $301.60 | $301.60 | |
Wellcare
| Professional | $340.96 | $680.69 | $680.69 |