| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $218.78 | $331.13 | $446.68 | |
Lucent Health
| Facility | $1,071.52 | $1,071.52 | $1,071.52 | |
Lucent Health
| Professional | $870.96 | $870.96 | $870.96 | |
Oscar Health
| Professional | $162.18 | $251.19 | $288.40 | |
United
| Professional | $107.15 | $125.89 | $213.80 |