| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $782.56 | $1,589.94 | $2,013.36 | |
Lucent Health
| Facility | $8,444.70 | $11,500.00 | $26,542.00 | |
Lucent Health
| Professional | $2,886.14 | $2,886.14 | $3,068.00 | |
Moda Health
| Professional | $292.00 | $292.00 | $689.72 | |
Oscar Health
| Professional | $4.00 | $535.10 | $1,075.00 |