| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $190.87 | $190.87 | $228.69 | |
Lucent Health
| Facility | $248.18 | $541.99 | $570.52 | |
Lucent Health
| Professional | $570.52 | $641.84 | $641.84 | |
Oscar Health
| Professional | $128.37 | $172.58 | $320.92 | |
Providence
| Professional | $109.83 | $156.88 | $249.60 |