| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $220.56 | $328.67 | $448.32 | |
Lucent Health
| Facility | $317.13 | $1,069.90 | $1,069.90 | |
Lucent Health
| Professional | $876.00 | $876.00 | $876.00 | |
Moda Health
| Facility | $637.84 | $637.84 | $637.84 | |
Oscar Health
| Professional | $149.50 | $228.90 | $275.80 |