| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $112.99 | $275.83 | $931.10 | |
Lucent Health
| Facility | $270.75 | $11,500.00 | $15,000.00 | |
Lucent Health
| Professional | $1,021.00 | $3,046.00 | $3,046.00 | |
Moda Health
| Facility | $113.85 | $260.25 | $366.66 | |
Oscar Health
| Professional | $269.39 | $269.39 | $269.39 | |
Providence
| Facility | $113.85 | $260.25 | $366.66 |