| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $142.79 | $149.86 | $179.55 | |
Lucent Health
| Facility | $224.62 | $423.00 | $423.00 | |
Lucent Health
| Professional | $470.80 | $583.46 | $583.46 | |
Oscar Health
| Professional | $177.00 | $248.80 | $299.80 |