| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $256.61 | $371.31 | $660.20 | |
Lucent Health
| Facility | $287.04 | $378.06 | $378.06 | |
Lucent Health
| Professional | $561.26 | $602.61 | $602.61 | |
Oscar Health
| Professional | $207.80 | $246.10 | $296.50 |