| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $257.04 | $323.59 | $660.69 | |
Lucent Health
| Facility | $380.19 | $380.19 | $380.19 | |
Lucent Health
| Professional | $616.60 | $616.60 | $616.60 | |
Oscar Health
| Professional | $147.91 | $239.88 | $295.12 |