| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $817.50 | $817.50 | $1,021.88 | |
Oscar Health
| Professional | $781.00 | $781.00 | $781.00 | |
Wellcare
| Facility | $876.41 | $1,065.60 | $1,065.60 | |
Wellcare
| Professional | $2,201.90 | $2,201.90 | $2,201.90 |