| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $488.52 | $668.37 | $846.37 | |
Lucent Health
| Facility | $116.67 | $116.67 | $200.00 | |
Lucent Health
| Professional | $228.13 | $228.13 | $228.13 | |
Oscar Health
| Professional | $10.00 | $10.00 | $10.90 |