| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $148.07 | $233.16 | $473.72 | |
Lucent Health
| Facility | $55.00 | $55.00 | $2,922.50 | |
Lucent Health
| Professional | $1,297.00 | $1,297.00 | $1,297.00 | |
Oscar Health
| Professional | $182.80 | $182.80 | $182.80 |