| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $34.13 | $36.17 | $43.34 | |
Lucent Health
| Facility | $53.01 | $90.00 | $90.00 | |
Lucent Health
| Professional | $97.66 | $97.66 | $97.66 | |
Oscar Health
| Professional | $30.10 | $37.20 | $40.70 |