| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $281.84 | $416.87 | $575.44 | |
Lucent Health
| Facility | $676.08 | $676.08 | $676.08 | |
Lucent Health
| Professional | $851.14 | $851.14 | $851.14 | |
Oscar Health
| Professional | $251.19 | $363.08 | $426.58 |