| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $16.60 | $33.88 | $81.28 | |
Lucent Health
| Facility | $54.95 | $56.23 | $1,288.25 | |
Lucent Health
| Professional | $489.78 | $489.78 | $489.78 | |
Oscar Health
| Professional | $33.88 | $33.88 | $33.88 |