| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $216.26 | $322.25 | $439.57 | |
Lucent Health
| Facility | $313.74 | $477.72 | $477.72 | |
Lucent Health
| Professional | $625.42 | $684.55 | $684.55 | |
Oscar Health
| Professional | $225.60 | $225.60 | $225.60 |