| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $42.92 | $81.00 | $192.79 | |
Lucent Health
| Facility | $90.00 | $245.76 | $245.76 | |
Lucent Health
| Professional | $125.79 | $364.15 | $364.15 | |
Oscar Health
| Professional | $118.00 | $192.00 | $231.30 | |
Providence
| Facility | $85.00 | $85.00 | $85.00 | |
Providence
| Professional | $77.00 | $85.00 | $85.00 |