| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $151.99 | $239.60 | $715.98 | |
Lucent Health
| Facility | $55.00 | $126.83 | $2,922.50 | |
Lucent Health
| Professional | $771.09 | $2,380.44 | $2,380.44 | |
Oscar Health
| Professional | $27.40 | $344.50 | $396.60 |