| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $235.34 | $404.29 | $618.12 | |
Lucent Health
| Facility | $374.44 | $374.44 | $385.50 | |
Lucent Health
| Professional | $607.94 | $801.06 | $801.06 | |
Moda Health
| Professional | $73.56 | $146.69 | $273.60 | |
Oscar Health
| Professional | $96.42 | $134.72 | $229.50 | |
Providence
| Facility | $301.13 | $323.50 | $323.50 | |
Providence
| Professional | $88.13 | $207.35 | $327.99 |