| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $356.96 | $427.67 | $740.09 | |
Lucent Health
| Facility | $65.00 | $584.42 | $584.42 | |
Lucent Health
| Professional | $660.66 | $1,171.34 | $2,404.96 | |
Oscar Health
| Professional | $645.20 | $654.90 | $760.20 |