| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $43.65 | $57.54 | $128.82 | |
Lucent Health
| Facility | $173.78 | $173.78 | $173.78 | |
Lucent Health
| Professional | $245.47 | $245.47 | $245.47 | |
Oscar Health
| Professional | $41.69 | $52.48 | $154.88 |