| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $4.17 | $4.37 | $5.24 | |
Lucent Health
| Facility | $100.00 | $3,763.43 | $3,763.43 | |
Lucent Health
| Professional | $491.22 | $491.22 | $546.00 | |
Oscar Health
| Professional | $9.19 | $10.50 | $27.40 |