| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,717.88 | $3,490.25 | $4,419.75 | |
Lucent Health
| Facility | $12,131.00 | $13,851.75 | $26,542.00 | |
Lucent Health
| Professional | $6,515.27 | $6,515.27 | $6,515.27 | |
Moda Health
| Professional | $1,422.52 | $1,422.52 | $1,422.52 | |
Oscar Health
| Professional | $7.00 | $1,131.59 | $2,360.00 |