| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $537.41 | $800.82 | $1,092.36 | |
Lucent Health
| Facility | $192.91 | $490.77 | $490.77 | |
Lucent Health
| Professional | $1,061.64 | $1,195.82 | $1,195.82 | |
Oscar Health
| Professional | $138.00 | $674.00 | $812.20 |