| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $35.65 | $44.85 | $101.70 | |
Lucent Health
| Facility | $90.00 | $139.63 | $139.63 | |
Lucent Health
| Professional | $122.00 | $5,919.01 | $5,919.01 | |
Oscar Health
| Professional | $34.40 | $37.60 | $41.40 |