| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $174.38 | $184.84 | $221.46 | |
Lucent Health
| Facility | $219.44 | $301.60 | $301.60 | |
Lucent Health
| Professional | $340.96 | $340.96 | $680.69 | |
Oscar Health
| Professional | $187.20 | $191.40 | $215.20 |