| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $296.14 | $635.91 | $761.91 | |
Lucent Health
| Facility | $311.00 | $311.00 | $337.24 | |
Lucent Health
| Professional | $659.40 | $659.40 | $659.40 | |
Oscar Health
| Professional | $84.10 | $103.20 | $103.20 |