| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $207.03 | $368.32 | $532.65 | |
Lucent Health
| Facility | $228.74 | $228.74 | $658.49 | |
Lucent Health
| Professional | $602.00 | $693.25 | $693.25 | |
Oscar Health
| Professional | $134.60 | $195.70 | $235.80 |