| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $549.41 | $549.41 | $658.26 | |
Lucent Health
| Facility | $784.58 | $1,713.46 | $1,803.64 | |
Lucent Health
| Professional | $2,254.55 | $2,254.55 | $2,254.55 | |
Oscar Health
| Professional | $293.08 | $545.60 | $1,578.18 | |
Providence
| Facility | $450.91 | $626.76 | $626.76 | |
Providence
| Professional | $473.46 | $541.09 | $631.27 |