| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $49.58 | $120.69 | $529.53 | |
Lucent Health
| Facility | $148.09 | $11,500.00 | $16,394.00 | |
Lucent Health
| Professional | $638.00 | $687.43 | $687.43 | |
Oscar Health
| Professional | $133.40 | $133.40 | $133.40 | |
United
| Professional | $141.46 | $141.46 | $141.46 |