| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $49.89 | $49.89 | $59.77 | |
Lucent Health
| Facility | $90.00 | $141.41 | $151.16 | |
Lucent Health
| Professional | $236.16 | $236.16 | $236.16 | |
Oscar Health
| Professional | $13.84 | $27.53 | $64.26 | |
Providence
| Professional | $42.52 | $64.30 | $98.84 |