| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $114.82 | $144.54 | $354.81 | |
Lucent Health
| Facility | $54.95 | $56.23 | $1,288.25 | |
Lucent Health
| Professional | $616.60 | $616.60 | $616.60 | |
Oscar Health
| Professional | $5.01 | $323.59 | $389.05 |