| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $954.99 | $954.99 | $954.99 | |
Lucent Health
| Professional | $1,000.00 | $1,000.00 | $1,071.52 | |
Moda Health
| Facility | $194.98 | $316.23 | $933.25 | |
Oscar Health
| Professional | $363.08 | $436.52 | $467.74 | |
Providence
| Facility | $208.93 | $295.12 | $436.52 |