| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $93.80 | $117.25 | $210.21 | |
Lucent Health
| Facility | $55.00 | $55.00 | $139.19 | |
Lucent Health
| Professional | $225.37 | $373.91 | $373.91 | |
Oscar Health
| Professional | $95.20 | $95.20 | $95.20 |