| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $22.99 | $22.99 | $28.74 | |
Lucent Health
| Facility | $80.00 | $90.00 | $90.00 | |
Moda Health
| Facility | $19.50 | $44.48 | $66.50 | |
Oscar Health
| Facility | $453.66 | $642.40 | $2,207.00 | |
Providence
| Professional | $2,400,000.00 | $2,400,000.00 | $2,400,000.00 |