| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $190.55 | $288.40 | $389.05 | |
Lucent Health
| Facility | $537.03 | $537.03 | $537.03 | |
Lucent Health
| Professional | $588.84 | $588.84 | $588.84 | |
Oscar Health
| Professional | $169.82 | $251.19 | $288.40 |