| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $184.84 | $184.84 | $221.46 | |
Oscar Health
| Facility | $182.30 | $182.30 | $182.30 | |
Oscar Health
| Professional | $182.30 | $182.30 | $215.20 | |
Priority Health
| Professional | $184.84 | $184.84 | $221.46 |