| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $159.22 | $237.28 | $323.66 | |
Lucent Health
| Facility | $275.82 | $621.92 | $621.92 | |
Lucent Health
| Professional | $781.72 | $875.23 | $875.23 | |
Oscar Health
| Professional | $140.00 | $293.60 | $353.80 |