| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $26.89 | $30.61 | $36.67 | |
Lucent Health
| Facility | $85.00 | $90.00 | $90.00 | |
Lucent Health
| Professional | $86.64 | $93.52 | $112.44 | |
Oscar Health
| Professional | $47.80 | $52.30 | $57.70 |