| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $335.00 | $335.00 | $418.75 | |
Lucent Health
| Facility | $2,214.42 | $12,000.00 | $12,000.00 | |
Lucent Health
| Professional | $1,428.00 | $1,428.00 | $1,428.00 | |
Oscar Health
| Professional | $264.60 | $264.60 | $264.60 |