| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $354.81 | $426.58 | $741.31 | |
Oscar Health
| Professional | $616.60 | $645.65 | $831.76 | |
Wellcare
| Facility | $588.84 | $588.84 | $912.01 | |
Wellcare
| Professional | $2,398.83 | $2,398.83 | $2,398.83 |