| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $9.00 | $11.25 | $15.94 | |
Lucent Health
| Facility | $85.00 | $90.00 | $90.00 | |
Lucent Health
| Professional | $29.24 | $54.78 | $54.78 | |
Oscar Health
| Professional | $17.89 | $17.89 | $17.89 |