| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $633.15 | $1,286.38 | $1,628.96 | |
Lucent Health
| Facility | $8,444.70 | $11,500.00 | $26,542.00 | |
Lucent Health
| Professional | $3,218.00 | $3,304.20 | $3,304.20 | |
Moda Health
| Professional | $206.13 | $206.13 | $206.13 | |
Oscar Health
| Professional | $4.00 | $422.90 | $870.90 |