| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $358.45 | $448.06 | $615.55 | |
Lucent Health
| Facility | $55.00 | $55.00 | $1,300.00 | |
Lucent Health
| Professional | $877.28 | $1,145.76 | $1,145.76 | |
Oscar Health
| Professional | $275.80 | $275.80 | $275.80 |