| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $173.78 | $173.78 | $208.93 | |
Lucent Health
| Facility | $676.08 | $676.08 | $676.08 | |
Lucent Health
| Professional | $707.95 | $1,071.52 | $1,071.52 | |
Moda Health
| Professional | $141.25 | $141.25 | $141.25 | |
Oscar Health
| Facility | $831.76 | $1,698.24 | $2,454.71 | |
Oscar Health
| Professional | $141.25 | $162.18 | $302.00 | |
Providence
| Facility | $199.53 | $199.53 | $199.53 | |
Providence
| Professional | $151.36 | $177.83 | $251.19 | |
United
| Professional | $66.07 | $87.10 | $95.50 |