| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $47.18 | $47.18 | $47.18 | |
Lucent Health
| Facility | $46.44 | $234.25 | $234.25 | |
Lucent Health
| Professional | $67.50 | $67.50 | $67.50 | |
Oscar Health
| Professional | $27.40 | $27.40 | $27.40 |