| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $2,409.98 | $4,896.42 | $6,200.40 | |
Lucent Health
| Facility | $55.00 | $2,800.00 | $22,807.05 | |
Lucent Health
| Professional | $6,084.60 | $6,308.29 | $6,308.29 | |
Moda Health
| Professional | $1,606.46 | $1,606.46 | $1,606.46 | |
Oscar Health
| Professional | $7.00 | $1,767.30 | $3,313.60 |