| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $288.40 | $426.58 | $575.44 | |
Lucent Health
| Facility | $758.58 | $758.58 | $758.58 | |
Lucent Health
| Professional | $1,047.13 | $1,047.13 | $1,174.90 | |
Oscar Health
| Professional | $177.83 | $380.19 | $489.78 | |
United
| Professional | $134.90 | $177.83 | $354.81 |