| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $149.41 | $274.02 | $556.75 | |
Lucent Health
| Facility | $55.00 | $55.00 | $1,300.00 | |
Lucent Health
| Professional | $1,017.00 | $1,157.05 | $1,157.05 | |
Oscar Health
| Professional | $213.50 | $213.50 | $213.50 |