| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $46.84 | $46.84 | $56.12 | |
Lucent Health
| Facility | $70.00 | $90.00 | $90.00 | |
Lucent Health
| Professional | $122.82 | $122.82 | $122.82 | |
Oscar Health
| Professional | $31.58 | $42.46 | $78.95 | |
Providence
| Professional | $36.84 | $37.02 | $49.13 |