| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,681.70 | $3,416.74 | $4,326.67 | |
Lucent Health
| Facility | $55.00 | $2,800.00 | $22,807.05 | |
Lucent Health
| Professional | $4,208.52 | $4,365.45 | $4,365.45 | |
Moda Health
| Facility | $21,326.42 | $21,326.42 | $21,326.42 | |
Oscar Health
| Professional | $7.00 | $1,055.30 | $2,313.00 |