| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $31.43 | $39.52 | $89.64 | |
Lucent Health
| Facility | $90.00 | $90.00 | $139.63 | |
Lucent Health
| Professional | $95.38 | $102.41 | $140.99 | |
Oscar Health
| Professional | $30.80 | $33.70 | $37.20 |