| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $200.33 | $430.18 | $847.18 | |
Lucent Health
| Facility | $220.06 | $220.06 | $362.58 | |
Lucent Health
| Professional | $653.00 | $653.00 | $653.00 | |
Oscar Health
| Professional | $124.80 | $190.80 | $229.90 |