| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $83.18 | $141.25 | $239.88 | |
Lucent Health
| Facility | $218.78 | $218.78 | $218.78 | |
Lucent Health
| Professional | $354.81 | $354.81 | $354.81 | |
Oscar Health
| Professional | $26.30 | $66.07 | $144.54 | |
United
| Facility | $14.45 | $14.45 | $15.85 | |
United
| Professional | $11.75 | $25.12 | $56.23 |