| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $16.75 | $33.50 | $68.06 | |
Lucent Health
| Facility | $55.00 | $55.00 | $1,300.00 | |
Lucent Health
| Professional | $491.00 | $491.00 | $491.00 | |
Oscar Health
| Professional | $33.90 | $33.90 | $33.90 |