| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $367.45 | $367.45 | $440.24 | |
Lucent Health
| Facility | $205.62 | $346.11 | $346.11 | |
Lucent Health
| Professional | $683.00 | $683.00 | $683.00 | |
Moda Health
| Professional | $88.57 | $109.87 | $134.31 | |
Oscar Health
| Professional | $97.80 | $97.80 | $116.20 |