| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $93.33 | $117.49 | $186.21 | |
Lucent Health
| Facility | $181.97 | $181.97 | $181.97 | |
Lucent Health
| Professional | $467.74 | $467.74 | $602.56 | |
Oscar Health
| Professional | $0.60 | $213.80 | $275.42 |