| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $251.87 | $264.33 | $316.70 | |
Lucent Health
| Facility | $362.06 | $878.66 | $950.93 | |
Lucent Health
| Professional | $1,471.51 | $1,471.51 | $1,471.51 | |
Oscar Health
| Professional | $226.50 | $462.10 | $620.50 | |
Providence
| Professional | $270.61 | $489.38 | $612.78 |