| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $8.60 | $9.02 | $10.81 | |
Lucent Health
| Facility | $100.00 | $110.20 | $110.20 | |
Lucent Health
| Professional | $95.22 | $95.22 | $95.22 | |
Oscar Health
| Professional | $27.40 | $29.00 | $37.70 | |
Providence
| Professional | $19.57 | $19.57 | $44.59 |