| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $184.11 | $485.60 | $590.40 | |
Lucent Health
| Facility | $273.93 | $273.93 | $273.93 | |
Lucent Health
| Professional | $567.32 | $777.00 | $777.00 | |
Moda Health
| Professional | $99.56 | $145.38 | $258.00 | |
Oscar Health
| Professional | $131.80 | $171.20 | $316.00 | |
Providence
| Professional | $142.97 | $142.97 | $142.97 |