| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $133.25 | $344.39 | $427.30 | |
Lucent Health
| Facility | $201.68 | $201.68 | $201.68 | |
Lucent Health
| Professional | $406.95 | $523.28 | $523.28 | |
Oscar Health
| Professional | $125.00 | $167.30 | $227.50 | |
Providence
| Professional | $106.61 | $106.61 | $106.61 |