| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $12.88 | $15.90 | $19.05 | |
Lucent Health
| Facility | $80.00 | $90.00 | $90.00 | |
Lucent Health
| Professional | $40.97 | $47.85 | $57.99 | |
Oscar Health
| Professional | $24.70 | $27.00 | $29.80 |