| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $181.04 | $190.01 | $227.65 | |
Lucent Health
| Facility | $201.07 | $532.20 | $532.20 | |
Lucent Health
| Professional | $597.64 | $742.51 | $742.51 | |
Oscar Health
| Professional | $106.20 | $315.60 | $380.30 |