| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $75.52 | $79.26 | $94.96 | |
Lucent Health
| Facility | $100.00 | $132.24 | $132.24 | |
Lucent Health
| Professional | $200.64 | $200.64 | $200.64 | |
Oscar Health
| Professional | $27.40 | $27.40 | $27.40 |