| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $216.76 | $504.27 | $640.42 | |
Lucent Health
| Facility | $1,206.82 | $1,667.93 | $1,755.72 | |
Lucent Health
| Professional | $2,194.65 | $2,194.65 | $2,194.65 | |
Oscar Health
| Professional | $285.30 | $526.72 | $987.59 | |
Providence
| Facility | $602.10 | $602.10 | $677.90 | |
Providence
| Professional | $395.04 | $531.11 | $632.21 |