| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $44.88 | $44.88 | $44.88 | |
Lucent Health
| Facility | $45.41 | $232.40 | $232.40 | |
Lucent Health
| Professional | $66.00 | $66.00 | $66.00 | |
Oscar Health
| Professional | $27.40 | $27.40 | $27.40 |