| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $43.52 | $54.73 | $124.11 | |
Lucent Health
| Facility | $90.00 | $90.00 | $172.62 | |
Lucent Health
| Professional | $128.10 | $245.65 | $245.65 | |
Oscar Health
| Professional | $118.00 | $129.60 | $156.19 | |
Providence
| Facility | $85.00 | $85.00 | $85.00 | |
Providence
| Professional | $75.00 | $85.00 | $85.00 |