| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $147.91 | $302.00 | $660.69 | |
Lucent Health
| Facility | $54.95 | $56.23 | $1,288.25 | |
Lucent Health
| Professional | $1,023.29 | $1,023.29 | $1,148.15 | |
Oscar Health
| Professional | $213.80 | $213.80 | $213.80 |