| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $177.55 | $288.58 | $365.44 | |
Lucent Health
| Facility | $55.00 | $55.00 | $3,181.37 | |
Lucent Health
| Professional | $458.64 | $1,793.57 | $1,793.57 | |
Oscar Health
| Professional | $107.00 | $145.69 | $169.60 |