| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $46.77 | $48.98 | $58.88 | |
Lucent Health
| Facility | $331.13 | $331.13 | $331.13 | |
Lucent Health
| Professional | $407.38 | $407.38 | $407.38 | |
Oscar Health
| Professional | $67.61 | $81.28 | $81.28 |