| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Capital Blue Cross
| Facility | $2,884.03 | $3,388.44 | $6,760.83 | |
Capital Blue Cross
| Professional | $3,388.44 | $3,388.44 | $3,388.44 | |
Cigna
| Professional | $3,548.13 | $3,715.35 | $4,466.84 | |
Oscar Health
| Facility | $6,309.57 | $6,309.57 | $6,309.57 | |
Oscar Health
| Professional | $0.60 | $30.20 | $7,762.47 | |
United
| Professional | $3,019.95 | $3,715.35 | $4,073.80 |