| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $17.48 | $20.96 | $73.34 | |
Oscar Health
| Facility | $27.90 | $27.90 | $27.90 | |
Oscar Health
| Professional | $27.90 | $31.00 | $120.60 | |
Priority Health
| Professional | $17.48 | $20.96 | $73.34 |