| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $74.13 | $173.78 | $426.58 | |
Lucent Health
| Facility | $676.08 | $676.08 | $676.08 | |
Lucent Health
| Professional | $416.87 | $416.87 | $416.87 | |
Oscar Health
| Professional | $123.03 | $158.49 | $186.21 |