| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $23.90 | $28.63 | $34.47 | |
Lucent Health
| Facility | $85.00 | $145.00 | $145.00 | |
Lucent Health
| Professional | $248.00 | $248.00 | $248.00 | |
Oscar Health
| Professional | $14.20 | $30.10 | $43.20 |