| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $188.80 | $226.20 | $272.36 | |
Lucent Health
| Facility | $111.80 | $185.61 | $253.72 | |
Lucent Health
| Professional | $483.00 | $483.00 | $483.00 | |
Oscar Health
| Professional | $59.60 | $110.40 | $133.80 |