| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $38.90 | $104.71 | $295.12 | |
Lucent Health
| Facility | $190.55 | $190.55 | $190.55 | |
Lucent Health
| Professional | $302.00 | $302.00 | $302.00 | |
Oscar Health
| Professional | $95.50 | $123.03 | $194.98 |