| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $159.13 | $273.36 | $438.72 | |
Lucent Health
| Facility | $252.21 | $252.21 | $260.33 | |
Lucent Health
| Professional | $411.91 | $565.95 | $565.95 | |
Moda Health
| Professional | $42.59 | $92.91 | $163.80 | |
Oscar Health
| Professional | $65.08 | $94.70 | $161.88 | |
Providence
| Facility | $212.80 | $229.97 | $229.97 | |
Providence
| Professional | $58.21 | $140.65 | $233.16 |