| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $115.91 | $144.88 | $353.43 | |
Lucent Health
| Facility | $55.00 | $55.00 | $1,300.00 | |
Lucent Health
| Professional | $281.93 | $615.83 | $615.83 | |
Oscar Health
| Professional | $113.50 | $113.50 | $113.50 |