| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $55.00 | $55.00 | $1,300.00 | |
Lucent Health
| Professional | $2,154.00 | $2,154.00 | $2,154.00 | |
Moda Health
| Facility | $244.78 | $319.08 | $758.51 | |
Oscar Health
| Professional | $315.00 | $315.00 | $315.00 | |
Providence
| Facility | $244.78 | $319.08 | $758.51 |