| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $90.45 | $139.86 | $227.33 | |
Lucent Health
| Facility | $55.00 | $55.00 | $248.16 | |
Lucent Health
| Professional | $876.00 | $876.00 | $876.00 | |
Moda Health
| Professional | $8,101.00 | $8,101.00 | $46,367.00 | |
Oscar Health
| Professional | $176.80 | $176.80 | $176.80 |