| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $53.70 | $79.43 | $107.15 | |
Lucent Health
| Facility | $177.83 | $1,995.26 | $1,995.26 | |
Lucent Health
| Professional | $177.83 | $177.83 | $177.83 | |
Oscar Health
| Professional | $61.66 | $77.62 | $93.33 |