| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $121.27 | $151.59 | $330.81 | |
Lucent Health
| Facility | $55.00 | $55.00 | $3,930.50 | |
Lucent Health
| Professional | $403.00 | $636.54 | $636.54 | |
Oscar Health
| Professional | $124.10 | $124.10 | $124.10 |