| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $456.07 | $788.70 | $788.70 | |
Lucent Health
| Professional | $874.90 | $874.90 | $874.90 | |
Oscar Health
| Professional | $350.80 | $350.80 | $350.80 | |
United
| Professional | $208.29 | $257.30 | $393.82 |