| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $13.80 | $13.80 | $16.60 | |
Lucent Health
| Facility | $229.09 | $229.09 | $229.09 | |
Lucent Health
| Professional | $1,513.56 | $1,513.56 | $1,513.56 | |
Oscar Health
| Professional | $16.60 | $19.95 | $30.20 |